Active NPI
Anne Marie Becker, MEDICAL TATTOO ARTIS
- Medical Art Specialist/Technologist
- West Islip, NY
National Provider Identifier
1013635275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- Practice address
- 500 Montauk Hwy Ste T
West Islip, NY 11795-4420 - Phone
- (516) 226-0386
- NPI assigned
- Aug 15, 2022
- Last updated
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | NY | Primary |
Addresses
Primary practice location
500 Montauk Hwy Ste T
West Islip, NY 11795-4420
Mailing address
55 Blueberry Ridge Dr
Holtsville, NY 11742-2547
Phone (516) 993-3414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.confidential.ink | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1013635275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BLUEBERRY RIDGE DR",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422547",
"telephone_number": "516-993-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MONTAUK HWY STE T",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954420",
"telephone_number": "516-226-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "MEDICAL TATTOO ARTIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.confidential.ink",
"affiliation": "N",
"endpointDescription": "Location treatment center address & contact information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Paramedical tattoo",
"address_1": "500 Montauk Hwy Ste T",
"city": "West Islip",
"state": "NY",
"country_code": "US",
"postal_code": "117954420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.