Bespoke Surgical, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BESPOKE SURGICAL, PC

Practice address

160 7TH Ave S
New York, NY 10014-2727

Phone

(212) 206-1501

Fax

(888) 880-8621

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Evan Brad Goldstein, D.O.NPI 1508040726

Title

Owner

Phone

(917) 570-4437

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Brad Goldstein, D.O.

  • Surgery Physician
  • New York, NY
  • NPI 1508040726
  Medicare reassignment NPD Authorized official
• Eddie Meraz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1609026178
  Medicare reassignment NPD
• Herbert Wasserman, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1932175882
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1063733863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 7TH AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142727",
            "telephone_number": "212-206-1501",
            "fax_number": "888-880-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 7TH AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142727",
            "telephone_number": "212-206-1501",
            "fax_number": "888-880-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-570-4437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anela Beskovic
• Kathryn Marie Besong, PT
• Bespoke Dental Ny PLLC
• Bespoke Mental Health Counseling
• Bespoke Psychology Nyc
• Bespoke Treatments Physical Therapy PC
• Jamie L. Bessich, M.D.
• Marc Bessler, M.D.
• Best Adult Day Care Center LLC
• Best Care Pharmacy Corp

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.