Individual provider Active NPI

Amanda Susana Palomares, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1487211363
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403113 Issued in NY
Practice address
223 E 34TH St
New York, NY 10016-4852
Phone
(201) 394-0434
NPI assigned
May 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403113 NY Primary

Addresses

Primary practice location

223 E 34TH St
New York, NY 10016-4852

Mailing address

223 E 34TH St
New York, NY 10016-4852

Other practice location 1

499 Vanderbilt Ave Apt 2C
Brooklyn, NY 11238-2252
Phone (201) 394-0434

Other practice location 2

800 Cross River Rd
Katonah, NY 10536
Phone (914) 763-8151 ext. 2522

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
I20230404001718 NY Practitioner - Nurse Practitioner 8123437282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

223 E 34TH St
New York, NY 10016-4852
Phone (646) 558-0800

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
403113NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2023 Accepting new patients
New York University CurrentSince Apr 1, 2023 Accepting new patients

Locations

223 E 34th St
New York, NY 10016
Phone (212) 263-8854

Networks

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

Interoperability endpoints

  • Direct secure messaging: abergamini87076@nyumc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1487211363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164852",
            "telephone_number": "201-394-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Vanderbilt Ave Apt 2C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382252",
            "country_code": "US",
            "telephone_number": "201-394-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Cross River Rd",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "10536",
            "country_code": "US",
            "telephone_number": "914-763-8151 x2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMARES",
        "first_name": "AMANDA",
        "middle_name": "SUSANA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-25",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.