Bespoke Surgical, PC

NPI 1063733863ActiveOrganization· Surgery· New York, NY

Surgery in New York, New York, registered in NPPES in June 2010. The authorized official on file is Evan Brad Goldstein, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI	1063733863
Status	Active
Entity type	Organization
NPI issued	Jun 15, 2010
Last updated in NPPES	Dec 11, 2013

Specialties and licenses

Taxonomy	Code	License	State
Surgery Primary	208600000X	—	NY
Pathology, Anatomic Pathology & Clinical Pathology	207ZP0102X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026	No match	—
New York OMIG · Nov 4, 2026	No match	—
Ohio Medicaid · Nov 4, 2026	No match	—
Pennsylvania Medicheck · Nov 4, 2026	No match	—
Washington HCA · Nov 4, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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