Individual provider Active NPI

Amy Parkas, M.A.ED, BCBA

  • Specialist
  • Bay Shore, NY
National Provider Identifier
1639433097
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
186 Captains Way
Bay Shore, NY 11706-8105
Phone
(631) 647-8848
NPI assigned
Jun 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

186 Captains Way
Bay Shore, NY 11706-8105

Mailing address

186 Captains Way
Bay Shore, NY 11706-8105
Phone (631) 647-8848

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

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1639433097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CAPTAINS WAY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068105",
            "telephone_number": "631-647-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CAPTAINS WAY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068105",
            "telephone_number": "631-647-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKAS",
        "first_name": "AMY",
        "credential": "M.A.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.