Individual provider Active NPI

Amy Malespin, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1346651924
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310683-01 Issued in NY
Practice address
2230 Cropsey Ave Apt 1201
Brooklyn, NY 11214-6296
Phone
(305) 804-9102
NPI assigned
May 16, 2014
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310683-01 NY Primary
Nurse Practitioner 363L00000X F310683-01 NY
Nurse Practitioner 363L00000X ARNP9259540 FL

Addresses

Primary practice location

2230 Cropsey Ave Apt 1201
Brooklyn, NY 11214-6296

Mailing address

2230 Cropsey Ave Apt 1201
Brooklyn, NY 11214-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316002366 NY Practitioner - Nurse Practitioner 1254643331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F310683-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Civic Medicine, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Civic Wilton, PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

Organizations & group practices 2

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": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1346651924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 CROPSEY AVE APT 1201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 CROPSEY AVE APT 1201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146296",
            "telephone_number": "305-804-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALESPIN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310683-01",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310683-01",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9259540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.