| David Beyda MD PLLC | |
|
6118 190th St Ste 215 Fresh Meadows NY 11365-2724 | |
| (718) 461-6161 | |
| (516) 517-9515 |
| Full Name | David Beyda MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6118 190th St Ste 215, Fresh Meadows, New York |
| Authorized Official Name and Position | David Beyda (PHYSICIAN / OWNER) |
| Authorized Official Contact | 5166504604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Beyda MD PLLC 6118 190th St Ste 215 Fresh Meadows NY 11365-2724 Ph: (718) 461-6161 | David Beyda MD PLLC 6118 190th St Ste 215 Fresh Meadows NY 11365-2724 Ph: (718) 461-6161 |
| NPI Number | 1528880945 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 09/03/2026 |
| Certification Date | 09/03/2026 |
| Medicare PECOS PAC ID | 6608366869 |
|---|---|
| Medicare Enrollment ID | O20251106000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528880945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| 207ZC0006X | Pathology - Clinical Pathology | () | Secondary |
| Provider Name | David J Beyda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477716041 PECOS PAC ID: 9133340193 Enrollment ID: I20141016002038 |
| Provider Name | Jessica N. Beyda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811232846 PECOS PAC ID: 5991008179 Enrollment ID: I20160121001538 |
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