Active NPI
Amelia Renee Hinkleman, NP
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308509
- Practice address
- 47 Plaza St W
Brooklyn, NY 11217-3905 - Phone
- (718) 789-4332
- NPI assigned
- Oct 26, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308509 | NY | Primary |
Addresses
Primary practice location
47 Plaza St W
Brooklyn, NY 11217-3905
Mailing address
401 E 80TH St Apt 5D
New York, NY 10075-0648
Phone (419) 789-9518
Other practice location 1
30 E 33rd St Fl 5
New York, NY 10016-5337
Phone (212) 366-4459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05383486 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahinkleman370456@nyumc.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| North Shore-Lij Medical Group P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
600 Community Dr
Ste 400
Manhasset, NY 11030
Phone (516) 600-1100
330 S Service Rd
Melville, NY 11747
27005 76th Ave
Rm 4000
New Hyde Park, NY 11040
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ahinkleman370456@nyumc.direct-ci.com
- ahinkleman270748@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Manhasset, NY
- NPI 1942666557
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1275045593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 80TH ST APT 5D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750648",
"telephone_number": "419-789-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PLAZA ST W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173905",
"telephone_number": "718-789-4332"
}
],
"practiceLocations": [
{
"address_1": "30 E 33rd St Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100165337",
"country_code": "US",
"telephone_number": "212-366-4459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINKLEMAN",
"first_name": "AMELIA",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05383486",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahinkleman370456@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "47 Plaza St W",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112173905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.