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MORDECHAI BEITYAKOV MD NPI 1780679530


NPI Information

NPI: 1780679530
Provider Name: MORDECHAI BEITYAKOV, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 33D0937053

Address:
1455 E 24TH ST
BROOKLYN, NY
ZIP 11210
Phone: (718) 376-7894
Get Directions

Mordechai Beityakov, MD is a pediatrics in Brooklyn, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mordechai Beityakov, MD NPI is 1780679530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1455 E 24TH ST
BROOKLYN, NY
ZIP 11210-144
Phone: (718) 376-7894
Fax: (718) 645-3952

The CLIA number assigned to this NPI record is 33D0937053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 12/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics203771NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101719740MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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