Individual provider Active NPI

Amalia Per, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amityville, NY
National Provider Identifier
1124353438
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401227 Issued in NY
Practice address
357 Broadway
Amityville, NY 11701-2748
Phone
(718) 362-1411
Fax
(718) 362-1651
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306691 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401227 NY Primary
Psychiatry Physician 2084P0800X 401227 NY

Addresses

Primary practice location

357 Broadway
Amityville, NY 11701-2748

Mailing address

612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411

Other practice location 1

275 W Merrick Rd
Freeport, NY 11520-3346
Phone (718) 362-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806010649 NY Practitioner - Nurse Practitioner 6608180427 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

357 Broadway
Amityville, NY 11701-2748
Phone (877) 258-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306691NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jul 20, 2024 Accepting new patients
Psychiatric Care Medical PLLC Psychiatry CurrentSince Mar 22, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Rd Medical Professional Services PC CurrentSince Mar 1, 2022 Accepting new patients
Mercy Medical Center CurrentSince Jul 20, 2024 Accepting new patients
Yogatastic Psychiatric/Mental Health Current Accepting new patients
Che Senior Psychological Services, PC Psychiatry CurrentSince Dec 17, 2024 Accepting new patients
Yogatastic Psychiatric/Mental Health CurrentSince Oct 20, 2024 Accepting new patients
Knapp Street Psychiatry, PC Psychiatry CurrentSince Dec 17, 2024 Accepting new patients
Amalia NP in Psychiatry PC Adult Health CurrentSince Aug 31, 2025 Accepting new patients
New York Neuromodulation Medical PLLC Psychiatry PastSince Mar 22, 2022 Accepting new patients

Locations

357 Broadway
Amityville, NY 11701
Phone (631) 789-4447

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

34 Hempstead Ave
Hempstead, NY 11550
Phone (917) 306-6054

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1124353438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-414-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012748",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203346",
            "country_code": "US",
            "telephone_number": "718-362-1403",
            "fax_number": "718-362-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PER",
        "first_name": "AMALIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306691",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401227",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "401227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.