Provider Demographics
NPI:1306823943
Name:BEGELMAN, NATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:
Last Name:BEGELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4654
Mailing Address - Country:US
Mailing Address - Phone:718-282-9350
Mailing Address - Fax:718-282-3919
Practice Address - Street 1:350 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4654
Practice Address - Country:US
Practice Address - Phone:718-282-9350
Practice Address - Fax:718-282-3919
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00203907Medicaid
B17120Medicare UPIN
610691Medicare ID - Type Unspecified