Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beacon Christian Community Health Center

Primary Care Clinic/Center in Staten Island, NY · enumerated 2015 · authorized official Janet Kim, Chief Medical Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801271911

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Christian Community Health Center

Practice address 2079 Forest Ave, Staten Island, NY, 10303

Phone (718) 815-6560

Fax (718) 815-6576

Enumeration date Jul 30, 2015

Last updated in NPPES Jul 30, 2015

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Janet Kim

Title Chief Medical Officer

Phone (718) 815-6560

Other identifiers

Identifier	Type	State	Issuer
133V00000X	Medicaid	NJ	-
133V00000X	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-30. Verify at npiregistry.cms.hhs.gov.

Where is Beacon Christian Community Health Center located?

The practice location on file with NPPES is in Staten Island, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-30.