Individual provider Active NPI

Cristina Amalfitano

  • Registered Nurse
  • Bellport, NY
National Provider Identifier
1609091016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
510555-1 Issued in NY
Practice address
16 Austin St
Bellport, NY 11713-1002
Phone
(631) 286-1758
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
510555-1NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 510555-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

16 Austin St
Bellport, NY 11713-1002

Mailing address

9 Wyandotte LN
East Islip, NY 11730-2604

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609091016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WYANDOTTE LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AUSTIN ST",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131002",
            "telephone_number": "631-286-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMALFITANO",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "510555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.