BEACON PRIMARY CARE PC (NPI# 1740729722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740729722 |
| Entity Type | Organization |
| Organization Name | BEACON PRIMARY CARE PC |
| Practice Address |
4 Jackson St Beacon NY 12508-3453 |
| Practice Telephone | 8458838633 |
| Practice Fax Number | 8457652964 |
| Mailing Telephone | 8458838633 |
| Mailing Fax Number | 8457652964 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | DR. MICHAEL O'BRIEN (PRESIDENT) |
| Authorized Official Telephone | 8458838633 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 273132 | NY | Ambulatory Health Care Facilities |
| Street Address |
4 JACKSON ST |
| City | BEACON |
| State | NY |
| Zip Code | 12508-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215257100 | Michael Robert O'brien | Internal Medicine | 4 Jackson St, Beacon, NY 12508-3453 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520248 | Hudson Valley Radiologists, PC | Radiology | 89 Mason Circle, Bldg 11 Apt# 219, Beacon, NY 12508 | 2020-05-21 |
| 1255973905 | Kristina Lee Howard | Social Worker | Beacon Wellness Center Pros, 451 Fishkille Ave, Beacon, NY 12508 | 2019-10-15 |
| 1356859276 | Katie Uwa Ngbodi | Nurse Practitioner | Fishkill Correctional Facililty, 18 Strack Drive, Beacon, NY 12508 | 2018-01-12 |
| 1083120646 | Shenay Monique Hunter | Licensed Practical Nurse | 5 Crossway Road, Beacon, NY 12508 | 2017-12-19 |
| 1144759549 | Jennylyn Tangonan Escritor | Licensed Practical Nurse | 32 Sycamore Drive, Beacon, NY 12508 | 2017-06-08 |
| 1316333297 | Prospect Dental, PC | Clinic/Center | 288th Main Street, Beacon, NY 12508 | 2015-04-08 |
| 1700019213 | Cyril Mansperger | Dentist | 535 Route 52, Beacon, NY 12508 | 2009-08-31 |
| 1760521231 | Patrick M Malouf Dc PC | Chiropractor | 1181 North Ave, Beacon, NY 12508 | 2007-02-05 |
| 1063505196 | Hongli Wang | Dentist | 1020 Walcott Ave, Beacon, NY 12508 | 2006-10-02 |
| 1891705729 | Jane Mcelduff | Dentist | 616 Route 52, Beacon, NY 12508 | 2006-08-09 |
| Find all providers in zip 12508 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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| 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.