Individual provider Active NPI

Amal Amar, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1578885356
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001376 Issued in NY
Practice address
5610 2ND Ave
Brooklyn, NY 11220-3599
Phone
(718) 702-6877
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001376 NY Primary

Addresses

Primary practice location

5610 2ND Ave
Brooklyn, NY 11220-3599

Mailing address

5610 2ND Ave
Brooklyn, NY 11220-3599
Phone (718) 702-6877

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000929 NY Practitioner - Certified Nurse Midwife (CNM) 9739210667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
A Friendly Face Akademy Corp.Group PAC ID 3779927553, 8 clinicians

Practice addresses (Care Compare)

1887 Richmond Ave
Staten Island, NY 10314-3939
Phone (718) 698-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001376NYMDMidwife
001376NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aamar56088@northwell.direct-ci.com

Organizations & group practices 3

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1578885356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599",
            "telephone_number": "718-702-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599",
            "telephone_number": "718-702-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "AMAL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.