Individual provider Active NPI

Beth Anne Hayes, D.O.

  • Emergency Medicine Physician
  • Smithtown, NY
National Provider Identifier
1336307602
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
249597 Issued in NY
Practice address
50 Ny-25a
Smithtown, NY 11787-3448
Phone
(631) 862-3000
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 249597 NY Primary

Addresses

Primary practice location

50 Ny-25a
Smithtown, NY 11787-3448

Mailing address

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000764 NY Practitioner - Emergency Medicine 7416149711 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
249597NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siena Emergency Medical Services, P.C. Emergency Medicine CurrentSince Apr 5, 2015 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince May 7, 2021 Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients
Island Medical Empire State, PLLC Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

50 New York Ave
#25A
Smithtown, NY 11787
Phone (631) 309-5222

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1336307602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NY-25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873448",
            "telephone_number": "631-862-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2022-11-29",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "249597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.