Ammiel Callum

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F309810 Issued in NY

Practice address

351 S Broad St Apt 305
Elizabeth, NJ 07202-5516

Phone

(718) 864-6962

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

East Harlem Council for Human Services IncGroup PAC ID 8628194842, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ammiel.callum.1@30409.direct.athenahealth.com

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.

• East Harlem Council for Human Services Inc

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1467486449
  Medicare reassignment Care Compare group NPD
• Medical Care at Home PC

  dba ESPRIT Medical Care

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York Community Hospital of Brooklyn Inc

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1215030697
  Medicare reassignment
• East Harlem Council for Human Services Inc

  dba Boriken Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1124530084
  NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1467048926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S BROAD ST APT 305",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072025516",
            "telephone_number": "718-864-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S BROAD ST APT 305",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072025516",
            "telephone_number": "718-864-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLUM",
        "first_name": "AMMIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F309810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Hyuk Byun, MD
• Maria Lynn Cacace, LPC
• Casilda Cala
• Caldwell DME Services LLC
• Theodore Calefati, LCSW
• Camacho Apothecary Inc
• Camacho Apothecary Inc (Camacho Pharmacy)
• Magaly Campos-Munoz, M.D.
• Qori Campos
• Gerardo Capo, MD

• Primary Care Nurse Practitioner in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.