Active NPI
Stephanie K Becker MD PC
- Specialist
- Hicksville, NY
National Provider Identifier
1982010286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 193672
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01500985 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbecker@totaleyecare.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2058931 | Stephanie K Becker, MD, PC | Certificate of waiver | May 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Hicksville, NY
- NPI 1477630390
-
- Optometrist
- Woodbury, NY
- NPI 1801166087
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.