Amita Vipul Patel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F343482 Issued in NY

Practice address

6144 Route 25a Ste 13
Wading River, NY 11792-2008

Phone

(516) 495-0777

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Comprehensive Care IncGroup PAC ID 5799024261, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.09 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

86.96

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Comprehensive Care Inc.

  • Internal Medicine Physician
  • Wading River, NY
  • NPI 1285104257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1205447224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A",
            "address_2": "STE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922008",
            "telephone_number": "516-433-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A STE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922008",
            "telephone_number": "516-495-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Longlsland community hospital",
            "address_2": "101 hospital rd",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "11772",
            "country_code": "US",
            "telephone_number": "631-654-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMITA",
        "middle_name": "VIPUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F343482-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Otano, RN
• Amanda Frances Palmeri, R.N.
• Paige Beatrice Paltan
• Victoria Paparatto
• Janine Passafaro
• Jessica Pellettier, LPN
• Rebecca Lauren Piekarski, DNP, FNP-BC
• Daniel Joseph Pierce, P.T.
• Delaney Eileen Pitcher
• Kristin Ponzini

• Family Nurse Practitioner in Wading River, NY
• Providers in Wading River, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.