Individual provider Active NPI

Betsy Tomy Paul, NP

  • Adult Health Nurse Practitioner
  • Lake Success, NY
National Provider Identifier
1609178698
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305160-1 Issued in NY
Practice address
450 Lakeville Road
Center for Advanced Medicine Ambulatory Surgery Center
Lake Success, NY 11042-1034
Phone
(516) 734-8070
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305160-1 NY Primary

Addresses

Primary practice location

450 Lakeville Road
Center for Advanced Medicine Ambulatory Surgery Center
Lake Success, NY 11042-1034

Mailing address

8125 265TH St
Floral Park
Glen Oaks, NY 11004-1534
Phone (718) 343-0979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F305160-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1609178698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 265TH ST",
            "address_2": "FLORAL PARK",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041534",
            "telephone_number": "718-343-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE ROAD",
            "address_2": "CENTER FOR ADVANCED MEDICINE AMBULATORY SURGERY CENTER",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421034",
            "telephone_number": "516-734-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "BETSY",
        "middle_name": "TOMY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305160-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.