NPIMap

Organization Active NPI

Belaray Dermatology PC

  • Dermatology Physician
  • Hicksville, NY
National Provider Identifier
1225237886
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BELARAY DERMATOLOGY PC
Practice address
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone
(516) 822-7546
Fax
(516) 937-7546
NPI assigned
Jul 13, 2007
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Amy Elizabeth Slear, MDNPI 1356354203
Title
Vice President
Phone
(516) 822-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery Physician 207ND0101X
Ophthalmology Physician 207W00000X 240262 NY

Addresses

Primary practice location

358 S Oyster Bay Rd
Hicksville, NY 11801-3508

Mailing address

358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 822-7546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@belaray.compulinkdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071114000208 NY Part B Supplier - Clinic/Group Practice 0941398671 Receives reassigned benefits from 10 practitioners
Practice locations: Hicksville, NY; Stony Brook, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1090304Belaray Dermatology358 S Oyster Bay Rd, Hicksville, NY 11801ComplianceJul 6, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: direct@belaray.compulinkdirect.com

Practitioners & affiliated clinicians

Practitioners 11

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1225237886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-822-7546",
            "fax_number": "516-937-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-822-7546",
            "fax_number": "516-937-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELARAY DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "SLEAR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-822-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "240262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@belaray.compulinkdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "358 S Oyster Bay Rd",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118013508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.