Sandra Beysolow

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001909 Issued in NY

Practice address

7 Karbe PL
Dix Hills, NY 11746-4608

Phone

(631) 423-4178

NPI assigned

Jun 7, 2014

Sex

Female

Sole proprietor

Yes

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": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402099200000",
    "number": "1982017935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KARBE PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KARBE PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464608",
            "telephone_number": "631-423-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYSOLOW",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "001909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Berman, PT, DPT, NCS
• Bernard Hoffman M.D. P.C.
• Bernard S Potter MD PC
• Gabrielle Bernstein
• Richard Jay Bernstein, M.D.
• Linda Biegen, R.N.
• Rachel Louise Bihn
• Joellen Bilski
• Natalie Susan Bitton-Palatiello
• Renee Block, LCSW

• Surgical Physician Assistant in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.