Active NPI
Amanda Poon, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1093405888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 823741-01
- Practice address
- 268 Canal St
New York, NY 10013-3599 - Phone
- (212) 379-6996
- Fax
- (212) 226-2289
- NPI assigned
- May 15, 2023
- Last updated
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 823741-01 | NY | Primary |
Addresses
Primary practice location
268 Canal St
New York, NY 10013-3599
Mailing address
268 Canal St
New York, NY 10013-3599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823741-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1093405888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 CANAL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CANAL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133599",
"telephone_number": "212-379-6996",
"fax_number": "212-226-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "AMANDA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "823741-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.