KATHERINE ELIZABETH BEAM (NPI# 1407232390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407232390 |
| Entity Type | Individual |
| Full Name | KATHERINE ELIZABETH BEAM |
| Credential | PA |
| Practice Address |
1991 Marcus Ave Ste 102 New Hyde Park NY 11042-2062 |
| Practice Telephone | 5164977900 |
| Mailing Telephone | 5164977900 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
019955 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003357 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34 Maple St, Norwalk, CT 068503815 | 2038522188 |
| Street Address |
1991 MARCUS AVE STE 102 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144257825 | James Paul Bradley | Oral & Maxillofacial Surgery | 1991 Marcus Ave Ste 102, New Hyde Park, NY 11042-2062 | 2006-06-27 |
| 1710401484 | Bogum Kwon | Physician Assistant | 1991 Marcus Ave Ste 102, New Hyde Park, NY 11042-2062 | 2017-08-03 |
| 1720112352 | Sophia H Kwo | Plastic Surgery | 1991 Marcus Ave Ste 102, Division of Plastic Surgery, New Hyde Park, NY 11042-2062 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396023511 | Merin M Thomas | Physician Assistant | 5 Nortema Ct, New Hyde Park, NY 11040-2031 | 2011-07-22 |
| 1750672556 | Sundeep Kaur Singh | Physician Assistant | 3 Sperry Ct, New Hyde Park, NY 11040-3819 | 2011-04-27 |
| 1013002104 | Matthew L. Shebes | Physician Assistant | Long Island Jewish Medical Center-department of Surgery, 270-05, 76 Ave, New Hyde Park, NY 11042 | 2006-10-04 |
| 1912518184 | Jonathan Phua | Physician Assistant | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
| 1538717103 | Etinosa Otagho | Physician Assistant | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2019-08-27 |
| 1619457967 | Kelly Madeline Lynch | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2018-08-16 |
| 1275039141 | Joan Claire Zimmeck | Physician Assistant | 3003 New Hyde Park Rd Ste 309, New Hyde Park, NY 11042-1214 | 2018-04-01 |
| 1487167094 | Ruth Sarai Walter | Physician Assistant | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2017-11-06 |
| 1740646405 | Bindu Abbey Daniel | Physician Assistant | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2016-01-11 |
| 1134596810 | Dayna Glatzer | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-08-28 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on KATHERINE ELIZABETH BEAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.