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

Q: What is Beacon Christian Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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: August 09, 2026.

On this page

About Beacon Christian Community Health Center NPPES

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

BEACON CHRISTIAN COMMUNITY HEALTH CENTER (NPI 1801271911) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since July 2015. The organization lists Janet Kim, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1801271911

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameBEACON CHRISTIAN COMMUNITY HEALTH CENTER

Location Address2079 FOREST AVEStaten Island, NY 10303-1865

Mailing Address2079 Forest AveStaten Island, NY 10303-1865 · (718) 815-6560 · Fax (718) 815-6576

Phone(718) 815-6560

Fax(718) 815-6576

Organization SubpartNo

Authorized OfficialJanet KimChief Medical Officer · (718) 815-6560

Enumeration DateJuly 30, 2015

✔ NPI 1801271911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

2079 FOREST AVE, Staten Island, NY 10303

Open in Google Maps ↗

Other Identifiers 2

Medicaid133V00000XNJ

Medicaid133V00000XNY

Other Providers at the Same Location NPPES 18

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

DR. DAVID HOI KIM MD

Family Medicine