Active NPI
Amy Ann Riley
- Registered Nurse
- Riverhead, NY
National Provider Identifier
1265076418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 777173
- Practice address
- 212 W Main St
Riverhead, NY 11901-2841 - Phone
- (631) 369-7800
- Fax
- (631) 574-8216
- NPI assigned
- Oct 31, 2019
- 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 | 777173 | NY | Primary |
Addresses
Primary practice location
212 W Main St
Riverhead, NY 11901-2841
Mailing address
43 Wildwood Dr
Sound Beach, NY 11789-2143
Phone (303) 968-7738
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 777173 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1265076418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WILDWOOD DR",
"city": "SOUND BEACH",
"state": "NY",
"postal_code": "117892143",
"telephone_number": "303-968-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012841",
"telephone_number": "631-369-7800",
"fax_number": "631-574-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "AMY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "777173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
- Richard Fishler DDS PLLC
- Richard K. Fishler (Smile Designs of long Island East)
- Maya N Richardson
- Altair Rigdon, LMT, CMLDT, CPCP
- Douglas A. Riggs, RPAC
- Riverhead Care Center LLC
- Riverhead Central School District
- Riverhead Chiropractic and Physical Therapy PLLC (Spine & Muscle)
- Riverhead Chiropractic Wellness, PC
- Riverhead Dental Assoc. P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.