Individual provider Active NPI

Jamaica Mariae Del Rosario Tobias, DNP, AGACNP, FNP

  • Family Nurse Practitioner
  • Carthage, NY
National Provider Identifier
1225430549
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346026 Issued in NY
Practice address
214 Church St
Carthage, NY 13619-1295
Phone
(646) 464-2634
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 686021 NY
Acute Care Nurse Practitioner 363LA2100X 431753 NY
Family Nurse Practitioner 363LF0000X 346026 NY Primary

Addresses

Primary practice location

214 Church St
Carthage, NY 13619-1295

Mailing address

1666 Midland Dr
East Meadow, NY 11554-5022
Phone (646) 464-2634

Other practice location 1

1666 Midland Dr
East Meadow, NY 11554-5022
Phone (646) 464-2634

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
I20230110000697 NY Practitioner - Nurse Practitioner 7810367737 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of Carthage PCGroup PAC ID 3072591262, 2 clinicians
Watertown Urgent Care PLLCGroup PAC ID 3971691700, 10 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

214 Church St
Carthage, NY 13619-1212
Phone 31549301286

457 Gaffney Dr
Watertown, NY 13601-1834
Phone (315) 779-2273

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
686021NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Mariae Tobias Acute Care&Family Health Nurse Practitioner PLLC Acute Care CurrentSince May 5, 2025 Accepting new patients
Watertown Urgent Care PLLC CurrentSince Nov 1, 2022 Accepting new patients
Family Medicine of Carthage, PC CurrentSince Oct 12, 2022 Accepting new patients
Lewis County General Hospital PastSince Aug 2, 2020 Accepting new patients
Mountain Medical of Watertown PastSince Nov 1, 2022 Accepting new patients

Locations

214 Church St
Fl 2
Carthage, NY 13619
Phone (646) 464-2634

214 Church St
Carthage, NY 13619
Phone (315) 493-0128

457 Gaffney Dr
Watertown, NY 13601
Phone (315) 779-2273

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70206
  • Direct secure messaging: jmtobias.np@acutecarefamilyhealthpllc.medentdirect.com
  • Direct secure messaging: jtobias@wuc.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1225430549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 MIDLAND DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545022",
            "telephone_number": "646-464-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHURCH ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191295",
            "telephone_number": "646-464-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 Midland Dr",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115545022",
            "country_code": "US",
            "telephone_number": "646-464-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "JAMAICA MARIAE",
        "middle_name": "DEL ROSARIO",
        "name_prefix": "Miss",
        "credential": "DNP, AGACNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686021",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431753",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.