Amy Plisic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

436 Willis Ave
3Rd Floor
Williston PK, NY 11596-2298

Phone

(516) 741-0729

Fax

(516) 209-4556

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Kids Learning Loft ABA Services, PLLC

  • Behavior Analyst
  • Williston Park, NY
  • NPI 1962758946
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1508232976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 27TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581013",
            "telephone_number": "917-273-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 WILLIS AVE",
            "address_2": "3RD FLOOR",
            "city": "WILLISTON PK",
            "state": "NY",
            "postal_code": "115962298",
            "telephone_number": "516-741-0729",
            "fax_number": "516-209-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISIC",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Balay, M.A. CCC-SLP
• Anthony G Bubolo I
• Michelle Cellan, MS CCC SLP
• Mary Ann N. Lemonda
• Junjie Yang, NYS L. ACUPUNCTURIST

• Community/Behavioral Health Agency in Williston PK, NY
• Providers in Williston PK, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.