Active NPI
Emilie Marie Deck, FNP-C
- Family Nurse Practitioner
- Amsterdam, NY
National Provider Identifier
1659723708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340869
- Practice address
- 4988 State Highway 30
First Floor
Amsterdam, NY 12010-7520 - Phone
- (518) 841-3565
- NPI assigned
- Jul 12, 2016
- Last updated
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340869 | NY | Primary |
Addresses
Primary practice location
4988 State Highway 30
First Floor
Amsterdam, NY 12010-7520
Mailing address
6 Droms Rd Ext
Glenville, NY 12302-5304
Phone (518) 795-5985
Other names 1
- Emilie Marie Gabay
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340869 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1659723708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DROMS RD EXT",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123025304",
"telephone_number": "518-795-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"address_2": "FIRST FLOOR",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-841-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECK",
"first_name": "EMILIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILIE",
"last_name": "GABAY",
"middle_name": "MARIE",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.