Organization Active NPI

Beverly & Co Luxury Hair Boutique

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1477368728
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEVERLY & CO LUXURY HAIR BOUTIQUE
Practice address
49 N Central Ave Apt 507
Valley Stream, NY 11580-3861
Phone
(917) 459-7569
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Rosemarie Thomas-Saul
Title
Ceo/Co Owner
Phone
(347) 721-4546

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

49 N Central Ave Apt 507
Valley Stream, NY 11580-3861

Mailing address

49 N Central Ave Apt 507
Valley Stream, NY 11580-3861
Phone (917) 459-7569

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1477368728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N CENTRAL AVE APT 507",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803861",
            "telephone_number": "917-459-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N CENTRAL AVE APT 507",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803861",
            "telephone_number": "917-459-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY & CO LUXURY HAIR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS-SAUL",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "CEO/CO OWNER",
        "authorized_official_telephone_number": "347-721-4546"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.