BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC.
NPI 1639246358
Clinic/Center - Federally Qualified Health Center (FQHC) in Staten Island, NY
About Beacon Christian Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC. (NPI 1639246358) is a healthcare organization registered as a federally qualified health center (fqhc) in Staten Island, New York and active in the NPI registry since November 2006. The organization lists David Hoi Kim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beacon Christian Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Beacon Christian Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beacon Christian Community Health Center, Inc.'s NPI number?
The NPI number for Beacon Christian Community Health Center, Inc. is 1639246358. It was assigned to this organization in the NPPES registry on November 29, 2006.
Where is Beacon Christian Community Health Center, Inc. located?
Beacon Christian Community Health Center, Inc. is located at 2079 Forest Ave, Staten Island, NY 10303. The listed phone number is (718) 815-6560.
What is Beacon Christian Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Beacon Christian Community Health Center, Inc. enrolled in Medicare?
Yes. Beacon Christian Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beacon Christian Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 8 Medicare specialties reassign their Medicare billing to Beacon Christian Community Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (12), Nurse Practitioner (6) and Family Practice (2). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beacon Christian Community Health Center, Inc. accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Beacon Christian Community Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Beacon Christian Community Health Center, Inc. was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beacon Christian Community Health Center, Inc. · NPI 1639246358
Federally Qualified Health Center (FQHC) organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1639246358 (Entity type: Organization)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** David Kim, CEO
## Practice location
- **Address:** 2079 FOREST AVE, Staten Island, NY 10303-1735
- **Phone:** (718) 815-6560 · **Fax:** (718) 815-6576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (12), Nurse Practitioner (6), Family Practice (2); 7 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1639246358/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639246358) · Data from the CMS NPPES public registry.