Individual provider Active NPI

Sharon Amy Emmer

  • Primary Care Nurse Practitioner
  • Melville, NY
National Provider Identifier
1649722042
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
307807 Issued in NY
Practice address
1616 Court North Dr
Melville, NY 11747-8142
Phone
(631) 375-5734
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 307807 NY Primary

Addresses

Primary practice location

1616 Court North Dr
Melville, NY 11747-8142

Mailing address

1616 Court North Dr
Melville, NY 11747-8142
Phone (631) 375-5734

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170505000258 NY Practitioner - Nurse Practitioner 2860779519 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 16, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 16, 2023 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1649722042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 COURT NORTH DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478142",
            "telephone_number": "631-375-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 COURT NORTH DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478142",
            "telephone_number": "631-375-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMER",
        "first_name": "SHARON",
        "middle_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "307807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.