Individual provider Active NPI

Amy B Rosario, RPA

  • Physician Assistant
  • Commack, NY
National Provider Identifier
1275810814
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015414 Issued in NY
Practice address
98 Jericho Tpke
Commack, NY 11725-3009
Phone
(631) 387-4355
NPI assigned
Nov 10, 2011
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015414 NY Primary

Addresses

Primary practice location

98 Jericho Tpke
Commack, NY 11725-3009

Mailing address

68 Newham Ave
Brentwood, NY 11717-5624
Phone (631) 332-9296

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
I20120605000477 NY Practitioner - Physician Assistant 9830353739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1 Miller PL
Smithtown, NY 11787-3629
Phone (631) 604-4024

19 W Jericho Tpke
Huntington Station, NY 11746-3627
Phone (631) 604-4022

1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065

2079 Smith Haven PLZ
Lake Grove, NY 11755-1209
Phone (631) 315-6758

3631 Hempstead Tpke
63A
Levittown, NY 11756-1315
Phone (516) 537-9063

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

434 Union Blvd
West Islip, NY 11795-3104
Phone (516) 537-9063

504 -506 Commack Rd
Deer Park, NY 11729-3804
Phone (631) 782-6230

5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945

527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427

600 N Wellwood Ave
Suite H
Lindenhurst, NY 11757-2000
Phone (631) 412-8903

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

98 Jericho Tpke
Commack, NY 11725-3009
Phone (631) 387-4355

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 19, 2016 Accepting new patients
Jay B Stambler MD Medical PC Current Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

178 W Main St
Patchogue, NY 11772
Phone (631) 438-0333

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Interoperability endpoints

  • Direct secure messaging: amy.bonilla@ghuc.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1275810814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NEWHAM AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175624",
            "telephone_number": "631-332-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253009",
            "telephone_number": "631-387-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.