Individual provider Active NPI

Anne Marie Becker, MEDICAL TATTOO ARTIS

  • Medical Art Specialist/Technologist
  • West Islip, NY
National Provider Identifier
1013635275
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.