Organization Active NPI

Stephanie K Becker MD PC

  • Specialist
  • Hicksville, NY
National Provider Identifier
1982010286
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193672 Issued in NY
Legal business name
STEPHANIE K BECKER MD PC
Practice address
120 Bethpage Rd Ste 102
Hicksville, NY 11801-1515
Phone
(516) 681-2220
Fax
(516) 681-2214
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Amy Pelle
Title
Billing Coordinator
Phone
(516) 681-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 193672 NY Primary

Addresses

Primary practice location

120 Bethpage Rd Ste 102
Hicksville, NY 11801-1515

Mailing address

120 Bethpage Rd Ste 102
Hicksville, NY 11801-1515
Phone (516) 681-2220

Other practice location 1

120 Bethpage Rd Ste 102
Hicksville, NY 11801-1515
Phone (516) 681-2220

Other identifiers 1

IdentifierTypeStateIssuer
01500985MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbecker@totaleyecare.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150806012976 NY DME Supplier - Physician - General Practice 0840504627 Practice locations: Hicksville, NY
O20150824000801 NY Part B Supplier - Clinic/Group Practice 0840504627 Receives reassigned benefits from 2 practitioners
Practice locations: Hicksville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2058931Stephanie K Becker, MD, PC120 Bethpage Road, Suite 102, Hicksville, NY 11801Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

120 Bethpage Rd
Ste 102
Hicksville, NY 11801
Phone (516) 681-2220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1982010286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD STE 102",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-681-2220",
            "fax_number": "516-681-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD STE 102",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-681-2220",
            "fax_number": "516-681-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Bethpage Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118011515",
            "country_code": "US",
            "telephone_number": "516-681-2220",
            "fax_number": "516-681-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE K BECKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "PELLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "516-681-2220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "193672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500985",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbecker@totaleyecare.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "120 Bethpage Rd",
            "address_2": "Suite 102",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118011515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.