Individual provider Active NPI

Amanda F Segilia, CNM

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1437209335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001178 Issued in NY
Practice address
330 W 58TH St
Suite 505
New York, NY 10019-1827
Phone
(212) 957-3006
Fax
(212) 957-3010
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001178 NY Primary

Addresses

Primary practice location

330 W 58TH St
Suite 505
New York, NY 10019-1827

Mailing address

204 Huntington St
Apt 1K
Brooklyn, NY 11231-3970
Phone (347) 385-3732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105001764 NJ Practitioner - Certified Nurse Midwife (CNM) 3375956642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001178NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince Oct 19, 2020 Accepting new patients
Saint Peter's University Hospital CurrentSince Oct 19, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

Interoperability endpoints

  • Direct secure messaging: amanda.segilia.1@22846.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437209335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HUNTINGTON ST",
            "address_2": "APT 1K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313970",
            "telephone_number": "347-385-3732",
            "fax_number": "212-957-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST",
            "address_2": "SUITE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-957-3006",
            "fax_number": "212-957-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGILIA",
        "first_name": "AMANDA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.