BEACON CHRISTIAN COMMUNITY HEALTH CENTER
NPI 1801271911
Clinic/Center - Primary Care in Staten Island, NY

Active since July 30, 2015
2079 FOREST AVE, STATEN ISLAND, NY 10303(718) 815-6560(718) 815-6576 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Primary Care

About BEACON CHRISTIAN COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Beacon Christian Community Health Center, a primary care provider established in Staten Island, New York operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1801271911 assigned on July 2015. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Janet Kim M.d., Mph, Ma (Chief Medical Officer)

NPI
1801271911 Verify this NPI
Provider Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
2079 FOREST AVE STATEN ISLAND, NY 10303
Location Phone
(718) 815-6560
Location Fax
(718) 815-6576
Mailing Address
2079 FOREST AVE STATEN ISLAND, NY 10303
Mailing Phone
(718) 815-6560
Mailing Fax
(718) 815-6576
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2015
Last Update Date
07-30-2015
Code Navigator

A primary care provider (PCP) like Beacon Christian Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANET KIM M.D., MPH, MA

Authorized Official Title
CHIEF MEDICAL OFFICER
Authorized Official Phone
(718) 815-6560

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
133V00000XMEDICAID (05)NJ 
133V00000XMEDICAID (05)NY 

Reviews for BEACON CHRISTIAN COMMUNITY HEALTH CENTER

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nutritionist
2079 FOREST AVE
STATEN ISLAND, NY 10303
Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Pediatrics
2079 FOREST AVE
STATEN ISLAND, NY 10303
Social Worker
2079 FOREST AVE
STATEN ISLAND, NY 10303
Dietitian, Registered
2079 FOREST AVE
STATEN ISLAND, NY 10303
Internal Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Physician Assistant (Medical)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Counselor (Mental Health)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Clinic/Center (Federally Qualified Health Center (FQHC))
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Psychiatric/Mental Health)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Pediatrics
2079 FOREST AVE
STATEN ISLAND, NY 10303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801271911, enumerated as an "organization" on July 30, 2015.

The provider is located at 2079 FOREST AVE STATEN ISLAND, NY 10303 and the phone number is (718) 815-6560.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.