Laurie Ellen Beberwyck

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

416700 Issued in NY

Practice address

1 Ridge Rd
Delmar, NY 12054-2107

Phone

(518) 466-9182

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1639848799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDGE RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542107",
            "telephone_number": "518-466-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIDGE RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542107",
            "telephone_number": "518-466-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBERWYCK",
        "first_name": "LAURIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "416700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Avallone-Serra, LCSW-R
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• Michael Bertram
• Bethlehem Central School District

• Registered Nurse in Delmar, NY
• Providers in Delmar, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.