MS. AMY C. DITTLER (NPI# 1366761009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366761009 |
| Entity Type | Individual |
| Full Name | MS. AMY C. DITTLER |
| Other Name | MS. AMY C. MACCHIA |
| Credential | PMHNP-BC |
| Practice Address |
450 Waverly Ave Ste 11 Patchogue NY 11772-1555 |
| Mailing Address |
282 Auborn Ave Shirley NY 11967-1734 |
| Practice Telephone | 9173859195 |
| Mailing Telephone | 9173859195 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
639551 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402005 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 WAVERLY AVE STE 11 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1831720945 | Faroqui Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1477184679 | Singh's Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2, Suite 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578194783 | Stambler Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1437596434 | Patchogue Diagnostic Radiology,pc | Specialist | 450 Waverly Ave, Building 2, Patchogue, NY 11772-1555 | 2013-05-30 |
| 1831459684 | Parkway Imaging & Diagnostic PC | Radiology | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2012-05-25 |
| 1013202944 | Laura Anne Van Schaick-harman | Psychologist | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772-1555 | 2011-06-20 |
| 1790084275 | Jenna Ann Mastromarino | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507573 | Jerri Galan-mcgrath | Nurse Practitioner | 40 W 4th St Apt 11, Patchogue, NY 11772-2123 | 2020-01-07 |
| 1720012651 | Joyce M Doyle | Nurse Practitioner | 170 Jayne Ave, Patchogue, NY 11772-2835 | 2006-07-10 |
| 1184183683 | Transition Wellness | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2019-03-14 |
| 1346704038 | Grace Mroz Np In Psychiatry Pllc | Nurse Practitioner | 450 Waverly Ave Ste 11, Patchogue, NY 11772-1555 | 2019-01-26 |
| 1619454139 | Diane Elizabeth Wahne | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2018-07-26 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1053862250 | Marie Christine Didonato | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2016-10-22 |
| 1164804092 | Pierrette M. Begent | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2015-06-27 |
| 1710387279 | Amanda J Weston | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2014-09-02 |
| 1184824278 | Christina Marie Suozzo | Nurse Practitioner | 475 E Main St, Suite 211, Patchogue, NY 11772-3121 | 2007-07-18 |
| Find all providers in PATCHOGUE | ||||
Please comment or provide details below to improve the information on MS. AMY C. DITTLER.
| 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.