Amy Eimer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346392 Issued in NY

Practice address

141 Little East Neck Rd
West Babylon, NY 11704-7719

Phone

(631) 321-1045

NPI assigned

Apr 12, 2021

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

Electronic endpoints 1

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

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stony Brook Surgical Associates University Faculty Practice CorporatiGroup PAC ID 0345143749, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16505/brand/1/csg/1/fhir/r4

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.

• Stony Brook Surgical Associates, University Faculty Practice Corporati

  • Surgery Physician
  • Stony Brook, NY
  • NPI 1063468536
  Medicare reassignment Care Compare group NPD
• Michael H Polcino, MD, PLLC

  • Colon & Rectal Surgery Physician
  • North Babylon, NY
  • NPI 1881092336
  NPD
• Michael Polcino MD PC

  • Obstetrics & Gynecology Physician
  • West Babylon, NY
  • NPI 1861688251
  NPD
• Stony Brook Anaesthesiology, University Faculty Practice Corporation

  • Anesthesiology Physician
  • Stony Brook, NY
  • NPI 1801841184
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1538749882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WIN PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552834",
            "telephone_number": "631-766-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047719",
            "telephone_number": "631-321-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIMER",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Polcinomd@optonline.net",
            "affiliation": "N",
            "address_1": "141 Little East Neck Rd",
            "city": "West Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117047719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DRS. Gardner & Donnelly
• Kathleen Nicole Dubrosky, OTR/L
• Jennifer Duffy-Philip, LMSW
• Elizabeth Duggan, R.N.
• Meridith Ann Eaton, PHYSICAL THERAPIST
• Marie Eliacin
• Elizabeth Cianchetti, LCSW, PLLC
• Kerry Lyn Eller, LCSW
• Empire Vision Center, Inc.
• Tawni Engel

• Family Nurse Practitioner in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.