Stephen Beach , CASAC

Physician • Brooklyn, NY

Deactivated NPI 1497391965 Deactivated in NPPES Male Practitioner

Practice location in NPPES

1545 Atlantic Ave
Brooklyn, NY 112131122

Phone: 7186134000

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 29, 2023; the reason is not published. The records below are historical. They do not show whether Stephen Beach currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 20, 2019

NPI Deactivation Date April 29, 2023

NPI Active Period 2019 – 2023

Practice Location & Contact Primary Location

Practice Address

1545 Atlantic Ave

Brooklyn, NY 112131122

Telephone 7186134000

Fax 7186134153

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Organization at the Same NPPES Address or Phone

Interfaith Medical Center Facility NPI 1487695235

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Brooklyn and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Student Health Primary Specialty

NUCC Taxonomy Code: 261QS1000X

License # reported to NPPES NY 261QS10000X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

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Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed

Dr. Ajibola Adedayo , MD

Internal Medicine - Interventional Cardiology

NPI 1376969469

Doctor of Medicine (M.D.)

Prasanthi Areti

Internal Medicine

NPI 1255654679

Dr. Binit Aryal , MD

Student in an Organized Health Care Education/Training Program

NPI 1881208007

Doctor of Medicine (M.D.)

Navid Ashari

Emergency Medicine

NPI 1336720341

Dr. Oyedotun Babajide , MD

Student in an Organized Health Care Education/Training Program

NPI 1477115137

Doctor of Medicine (M.D.)

Dr. Chhabilal Bastola , MD

Student in an Organized Health Care Education/Training Program

NPI 1336751429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated April 29, 2023

NPPES lists this NPI as deactivated as of April 29, 2023; the reason is not published.

✅

NPI Profile Active November 20, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) November 20, 2019

Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122 (Tel: 7186134000)

📍

Business Mailing Address (Initial Record) November 20, 2019

Registered at 1205 E 94TH ST, BROOKLYN, NY 112363930 (Tel: 9173253889)

👤

Provider Name / Credentials (Initial Record) November 20, 2019

Recorded as STEPHEN BEACH, CASAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Clinic/Center (license number reported to NPPES: NY 261QS10000X)

🟢

Initial NPI Registration & Enumeration November 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497391965

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 20, 2019

Last Update: November 20, 2019

Deactivation Date: April 29, 2023

Update or Correct Profile

Mailing Address

1205 E 94th St

Brooklyn, NY 112363930

Phone: 9173253889

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.