Healthcare Provider Details

I. General information

NPI: 1689136186
Provider Name (Legal Business Name): CHRISTOPHER FRANCIS BEKAMPIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GRAND AVE
ENGLEWOOD NJ
07631-4967
US

IV. Provider business mailing address

4601 39TH AVE APT 126
SUNNYSIDE NY
11104-1434
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-2277
  • Fax:
Mailing address:
  • Phone: 732-546-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number328904
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number25MB11827000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: