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DR. ISLANDE PROSPER BEAULIEU MD
NPI 1386740371
Pediatrics - Adolescent Medicine in Jamaica, NY

Active since September 16, 2006PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-3225(718) 883-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Islande Prosper Beaulieu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ISLANDE PROSPER BEAULIEU MD (NPI 1386740371) is an individual adolescent medicine provider in Jamaica, New York, licensed in New York (194613) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386740371
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. ISLANDE PROSPER BEAULIEUCredential: MD
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address7901 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432
Phone(718) 883-3225
Fax(718) 883-6193
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386740371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 194613
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

8268 164TH ST, Jamaica, NY 11432
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Other Identifiers 2

Medicare ID-Type Unspecified00330231NY
Medicaid01493787NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Islande Prosper Beaulieu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NGA HOANG NGUYEN PHARMACIST
Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3889
SHEILA A KERN PA-C
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Queens County (718) 883-4133
WHITNEY WU LCSW
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3573
KANWAL RASHID MD
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
MOAZAMA SHAKEEL AHMED
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
DR. ANURITA CHATTERJEE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. SUZANNE J FORRESTER-LOWE PA
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. GLENNA B RUBIN PSYD
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Islande Beaulieu's NPI number?

The NPI number for Islande Beaulieu is 1386740371. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Islande Beaulieu located?

Islande Beaulieu practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3225.

What is Islande Beaulieu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Islande Beaulieu enrolled in Medicare?

Yes. Islande Beaulieu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Islande Beaulieu was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.