MRS. AMY L ROBERTS (NPI# 1083904494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083904494 |
Entity Type | Individual |
Full Name | MRS. AMY L ROBERTS |
Credential | RPA-C |
Practice Address |
627 Broadway Suite 1 Massapequa NY 11758-5031 |
Practice Telephone | 5163084040 |
Practice Fax Number | 5168046386 |
Mailing Telephone | 5163084040 |
Mailing Fax Number | 5168046386 |
Enumeration Date | 2011-04-19 |
Last Update Date | 2016-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 014615-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780149856 | Amy Roberts | Licensed Vocational Nurse | 1906 Wellington Dr, Grand Prairie, TX 75051-3739 | 2019-02-04 |
1245711175 | Amy Lynn Roberts | Specialist | 170 Rosewood Ter, Cheektowaga, NY 14225-3014 | 2018-08-28 |
1093110397 | Amy Roberts | Registered Nurse | 601 E Jackson St, Hugo, OK 74743-4024 | 2014-10-29 |
1497165609 | Amy Catherine Roberts | Speech-Language Pathologist | 2237 Palisade Blvd, Dupont, WA 98327-9760 | 2014-04-28 |
1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
1215185459 | Amy Elaine Roberts | Psychologist | 5640 Cottingham Ln, Charlotte, NC 28211-4234 | 2008-08-29 |
1669642088 | Amy Brown Roberts | Nurse Practitioner | 409 York Street, Athens, TX 75751-7389 | 2008-03-03 |
1518094069 | Amy Michelle Roberts | Dentist | 300 Plaza Dr Ste 102, Highlands Ranch, CO 80129-2310 | 2007-02-28 |
1679641336 | Amy Lynn Roberts | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2006-12-01 |
1386754190 | Amy Fuller Roberts | Counselor | 1300 Austin Ave, Suite 203, Waco, TX 76701-1830 | 2006-08-30 |
Street Address |
627 BROADWAY SUITE 1 |
City | MASSAPEQUA |
State | NY |
Zip Code | 11758-5031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104811421 | John Edward Rooney | Allergy & Immunology | 627 Broadway, Massapequa, NY 11758-5031 | 2005-09-13 |
1730488941 | Mary K Paul | Allergy & Immunology | 627 Broadway, Massapequa, NY 11758 | 2011-03-28 |
1851572358 | Sisselman Medical Group, PC | Family Medicine | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 | 2007-11-26 |
1629286521 | Donna Marie Carson | Social Worker | 627 Broadway, Massapequa, NY 11758-5031 | 2007-05-21 |
1134259716 | Bruce Nyfield | Psychologist | 627 Broadway, Suite 201, Massapequa, NY 11258 | 2007-03-06 |
1558405977 | Maryann Leone | Psychologist | 627 Broadway, Suite Maidat, Massapequa, NY 11758-5031 | 2007-02-18 |
1437299690 | Bonnie G Weintraub | Social Worker | 627 Broadway, Ste.200, Massapequa, NY 11758-5031 | 2007-02-07 |
1194873372 | Barbara Ann Kilgus | Social Worker | 627 Broadway, Suite 200, Massapequa, NY 11758-5031 | 2007-01-06 |
1295895480 | Jill Sisselman | Family Medicine | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 | 2006-12-11 |
1497822787 | Keith Robert Gonsor | Psychologist | 627 Broadway, Suite 200, Massapequa, NY 11758-5031 | 2006-11-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
Find all providers in zip 11758 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497304778 | Shannon Paige Batt | Physician Assistant | 153 Massachusetts Ave, Massapequa, NY 11758-4111 | 2019-09-09 |
1386100303 | Ryan Rommel | Physician Assistant | 662 Franklin Ave, Massapequa, NY 11758-4137 | 2019-02-14 |
1588182513 | Michael Guzzardi | Physician Assistant | 56 Margaret Rd, Massapequa, NY 11758-1901 | 2017-08-30 |
1942625702 | Kristen Marie Kotak | Physician Assistant | 193 Baltimore Ave, Massapequa, NY 11758-4229 | 2014-03-03 |
1083924112 | Matthew Joseph Valvo | Physician Assistant | 22 Harrison Ave, Massapequa, NY 11758-7908 | 2010-10-07 |
1831335090 | Erica Harris | Physician Assistant | 4160 Merrick Rd Ste A, Massapequa, NY 11758-6027 | 2008-12-18 |
1518184290 | Marie A. Lobuglio | Physician Assistant | 5 South Bay Ave, Massapequa, NY 11758 | 2007-04-20 |
1588712699 | Suzanne Nicole Fanelli | Physician Assistant | 18 Swan Dr, Massapequa, NY 11758-7929 | 2007-01-08 |
1932185972 | Eric S. Seigel | Physician Assistant | 200 Old Sunrise Hwy, Massapequa, NY 11758-5545 | 2005-12-21 |
1073149811 | Vinci Mathew | Physician Assistant | 95 Grand Ave, Massapequa, NY 11758-4905 | 2020-03-12 |
Find all providers in MASSAPEQUA |
City | MASSAPEQUA |
Zip Code | 11758 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.