MR. JORDAN THOMAS BEYAR FNP
NPI 1891236402
Nurse Practitioner - Family in Staten Island, NY

Q: What is Jordan Beyar's NPI number?

The NPI number for Jordan Beyar is 1891236402. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Q: What is Jordan Beyar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Beyar was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 15, 2017PECOS Enrolled

87.06/100

CMS Quality Rating

2177 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 370-3730(718) 605-8257 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Mar 15, 2017 (2 updates tracked since 2017).

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About Mr. Jordan Thomas Beyar Fnp NPPES

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

MR. JORDAN THOMAS BEYAR FNP (NPI 1891236402) is an individual family provider in Staten Island, New York, licensed in New York (F3414081) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1891236402

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JORDAN THOMAS BEYARCredential: FNP

Location Address2177 VICTORY BLVDStaten Island, NY 10314-6603

Mailing Address42 Lakeland RdStaten Island, NY 10314-2506 · (718) 644-8996

Phone(718) 370-3730

Fax(718) 605-8257

Sole ProprietorNo

Enumeration DateMarch 15, 2017

Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1891236402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F3414081

2177 VICTORY BLVD, Staten Island, NY 10314

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Secondary Practice Location 1

Location 14143 Richmond Ave Ste 2Staten Island, NY 10312-5637 · Phone (718) 966-5556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jordan Thomas Beyar Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.48

Improvement Activities

Other Providers at the Same Location NPPES 14

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

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