Active NPI
Beth Anne Hayes, D.O.
- Emergency Medicine Physician
- Smithtown, NY
National Provider Identifier
1336307602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 249597
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249597 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siena Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Island Medical House Doctor PC | Past | 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.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Emergency Medicine Physician
- Oneonta, NY
- NPI 1053623041
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1477704005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.