Organization Active NPI

Amber Health LLC

  • Custodial Care Facility
  • Jericho, NY
National Provider Identifier
1619211323
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
AMBER HEALTH LLC
Practice address
220 Forest Dr
Jericho, NY 11753-2320
Phone
(516) 495-4835
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Kamil Atta, MDNPI 1326269093
Title
Owner
Phone
(516) 495-4835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

220 Forest Dr
Jericho, NY 11753-2320

Mailing address

220 Forest Dr
Jericho, NY 11753-2320
Phone (516) 495-4835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1619211323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FOREST DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532320",
            "telephone_number": "516-495-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FOREST DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532320",
            "telephone_number": "516-495-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "ATTA",
        "authorized_official_first_name": "KAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-495-4835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.