BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC
NPI 1750700902
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 1750700902) is a healthcare organization registered as a federally qualified health center (fqhc) in Staten Island, New York and active in the NPI registry since April 2014. The organization lists David H Kim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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, 1 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 1750700902. It was assigned to this organization in the NPPES registry on April 15, 2014.
Where is Beacon Christian Community Health Center Inc located?
Beacon Christian Community Health Center Inc is located at 2031 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, 1 practice at this address and 12 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 Christian Community Health Center Inc was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 1750700902
Federally Qualified Health Center (FQHC) organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1750700902 (Entity type: Organization)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** David Kim, CEO
## Practice location
- **Address:** 2031 FOREST AVE, Staten Island, NY 10303-1733
- **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); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1750700902/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1750700902) · Data from the CMS NPPES public registry.