BEACON HEALTH MEDICAL PC
NPI 1679393052
Internal Medicine in Brooklyn, NY

Q: What is Beacon Health Medical PC's NPI number?

The NPI number for Beacon Health Medical PC is 1679393052. It was assigned to this organization in the NPPES registry on October 11, 2024.

Q: What is Beacon Health Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 11, 2024

17 W 9TH ST, BROOKLYN, NY 11231(718) 599-9090(347) 618-5973 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Beacon Health Medical Pc NPPES

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

BEACON HEALTH MEDICAL PC (NPI 1679393052) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since October 2024. The organization lists Mark Ilyagu, Owner, as its authorized official.

NPPES Registry Identity

NPI1679393052

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBEACON HEALTH MEDICAL PC

Location Address17 W 9TH STBrooklyn, NY 11231-2501

Mailing Address17 W 9th StBrooklyn, NY 11231-2501 · (718) 599-9090 · Fax (347) 618-5973

Phone(718) 599-9090

Fax(347) 618-5973

Organization SubpartNo

Authorized OfficialMark IlyaguOwner · (717) 716-7107

Enumeration DateOctober 11, 2024

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1679393052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

17 W 9TH ST, Brooklyn, NY 11231

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Health Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 60 clinicians reassign Medicare billing to Beacon Health Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner53

Clinical Social Worker4

Internal Medicine2

Hospitalist1

Nearest to this location (20)

See all 60

Brucha Wanounou, FNP

Nurse Practitioner

NPI 1962230607

17 W 9TH ST
Brooklyn, NY 11231

(718) 599-9090

✔ PECOSSame address

Keran Hill, FNP, NP-C

Nurse Practitioner

NPI 1407917289

50 JAY ST
Brooklyn, NY 11201

(718) 222-6600

✔ PECOS2.1 mi

Darya Gorinshteyn, LCSW

Clinical Social Worker

NPI 1174732390

920 48TH ST MAIMONIDES DEPARTMENT OF PSYCHIATRY
Brooklyn, NY 11219

(718) 283-6126

✔ PECOS2.6 mi

Kesha Pantry, FNP

Nurse Practitioner

NPI 1386225001

5308 13TH AVE STE 509
Brooklyn, NY 11219

(929) 594-4494

✔ PECOS3.1 mi

Coriena Joseph, FNP

Nurse Practitioner

NPI 1730488958

319 UTICA AVE
Brooklyn, NY 11213

(516) 923-1101

✔ PECOS4.0 mi

Ashley Seo

Nurse Practitioner

NPI 1093176810

33 IRVING PL FL 11
New York, NY 10003

(347) 633-5139

✔ PECOS4.1 mi

Ala-May Lumibao, MD

Internal Medicine

NPI 1356516462

2091 NOSTRAND AVE
Brooklyn, NY 11210

(646) 873-0282

✔ PECOS4.2 mi

Tinea White

Nurse Practitioner

NPI 1992323422

5397 KINGS HWY
Brooklyn, NY 11203

(917) 463-6675

✔ PECOS✔ Accepts Medicare4.9 mi

Adina Spearman, LCSW

Clinical Social Worker

NPI 1497213730

2719 AVENUE M APT 2
Brooklyn, NY 11210

(347) 853-3664

✔ PECOS5.1 mi

Chadwick Baugh, NP

Nurse Practitioner

NPI 1205529567

3709 FLATLANDS AVE
Brooklyn, NY 11234

(718) 444-7766

✔ PECOS5.3 mi

Olivia Grant

Nurse Practitioner

NPI 1518274836

3709 FLATLANDS AVE
Brooklyn, NY 11234

(718) 444-7766

✔ PECOS5.3 mi

Asher Kohanteb, FNP

Nurse Practitioner

NPI 1740043595

3709 FLATLANDS AVE
Brooklyn, NY 11234

(718) 444-7766

✔ PECOS✔ Accepts Medicare5.3 mi

Mark Ilyagu, MD

Internal Medicine

NPI 1073994711

2183A RALPH AVE
Brooklyn, NY 11234

(717) 716-7107

✔ PECOS5.8 mi

Baruch Gubnitsky

Clinical Social Worker

NPI 1164171815

3840 CYPRESS AVE
Brooklyn, NY 11224

(347) 768-2803

✔ PECOS6.8 mi

Moon Ju Bae

Nurse Practitioner

NPI 1912484627

3750 72ND ST
Jackson Heights, NY 11372

(844) 692-4692

✔ PECOS7.6 mi

Elina Kaziyeva

Nurse Practitioner

NPI 1316646052

3-01 27TH AVE
Astoria, NY 11102

(718) 887-9211

✔ PECOS7.7 mi

Yelena Shats, FNP

Nurse Practitioner

NPI 1952826497

2076 HYLAN BLVD # 1
Staten Island, NY 10306

(718) 351-1221

✔ PECOS8.4 mi

Kseniya Dor, NP

Nurse Practitioner

NPI 1669095196

6433 99TH ST APT 6L
Rego Park, NY 11374

(929) 255-0911

✔ PECOS8.7 mi

Roman Fayzibayev, FNP

Nurse Practitioner

NPI 1467183749

15333 78TH RD
Flushing, NY 11367

(646) 508-3644

✔ PECOS11 mi

Ali Sadek, MD

Hospitalist

NPI 1750927240

4422 3RD AVE
Bronx, NY 10457

(718) 960-9000

✔ PECOS14 mi

See all 60 clinicians

Source: 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 Health Medical PC's NPI number?

The NPI number for Beacon Health Medical PC is 1679393052. It was assigned to this organization in the NPPES registry on October 11, 2024.

Where is Beacon Health Medical PC located?

Beacon Health Medical PC is located at 17 W 9th St, Brooklyn, NY 11231. The listed phone number is (718) 599-9090.

What is Beacon Health Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Beacon Health Medical PC enrolled in Medicare?

Yes. Beacon Health Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Health Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 4 Medicare specialties reassign their Medicare billing to Beacon Health Medical PC. 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 Nurse Practitioner (53), Clinical Social Worker (4) and Internal Medicine (2). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beacon Health Medical PC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.