Individual provider Active NPI

Amber Habib, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1487119921
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345710 Issued in NY
Practice address
30 Broad St FL 45
New York, NY 10004-2942
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345710 NY Primary

Addresses

Primary practice location

30 Broad St FL 45
New York, NY 10004-2942

Mailing address

1619 Broadway
New York, NY 10019-7412
Phone (646) 416-5752

Other practice location 1

1619 Broadway
New York, NY 10019-7412
Phone (646) 416-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190327002974 TX Practitioner - Nurse Practitioner 1557601622 Reassigns benefits to 1 organization
I20200811002758 NY Practitioner - Nurse Practitioner 1557601622 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F345710NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince May 4, 2020 Accepting new patients
Freedomcare Physician Practice PC CurrentSince Sep 25, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince May 4, 2020 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 18, 2019 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients

Locations

356 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 543-2889

245 5th Ave
Ste 306
New York, NY 10016

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25577/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amber.habib.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: ahabibfnp44668@direct.utmb.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1487119921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197412",
            "telephone_number": "646-416-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100197412",
            "country_code": "US",
            "telephone_number": "646-416-5752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIB",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.