Individual provider Active NPI

Rebecca C. Amaru, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1093785305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
217924-1 Issued in NY
Practice address
1125 Park Ave
New York, NY 10128-1243
Phone
(917) 492-9200
Fax
(917) 492-8129
NPI assigned
Jan 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 217924-1 NY Primary

Addresses

Primary practice location

1125 Park Ave
New York, NY 10128-1243

Mailing address

1125 Park Ave
New York, NY 10128-1243
Phone (917) 492-9200

Other identifiers 4

IdentifierTypeStateIssuer
2342963OtherNYMSNYU HEALTH TOP TIER,UHC
3229990OtherNYAETNA, PPO,POS,EPO,INDEMN
7619499OtherNYAETNA, HMO
02397111MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217924-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients
Peter B. Liebert, M.D., P.C. PastSince Apr 4, 2018 Accepting new patients
Mount Sinai School of Medicine of New York University Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093785305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARU",
        "first_name": "REBECCA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "217924-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSNYU HEALTH TOP TIER,UHC",
            "identifier": "2342963",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, PPO,POS,EPO,INDEMN",
            "identifier": "3229990",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, HMO",
            "identifier": "7619499",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02397111",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; 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.