Organization Active NPI

IV Evolution Medical PLLC

  • Family Medicine Physician
  • Syosset, NY
National Provider Identifier
1205606324
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IV EVOLUTION MEDICAL PLLC
Practice address
65 Berry Hill Rd
Syosset, NY 11791-2624
Phone
(516) 273-1448
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Beverly Marion Kraszewski-Silverman, DO
Title
Doctor
Phone
(516) 963-8658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

65 Berry Hill Rd
Syosset, NY 11791-2624

Mailing address

65 Berry Hill Rd
Syosset, NY 11791-2624
Phone (516) 398-2357

National Provider Directory

National Provider Directory

Locations

65 Berry Hill Rd
Syosset, NY 11791
Phone (516) 273-1448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1205606324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BERRY HILL RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912624",
            "telephone_number": "516-398-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERRY HILL RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912624",
            "telephone_number": "516-273-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV EVOLUTION MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "KRASZEWSKI-SILVERMAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-963-8658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.