Individual provider Active NPI

Amy L Tomko, APRN

  • Adult Health Nurse Practitioner
  • Royersford, PA
National Provider Identifier
1710156880
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5017622 Issued in NC
Practice address
1600 Black Rock Rd
Royersford, PA 19468-3147
Phone
(610) 948-8800
NPI assigned
Feb 22, 2008
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5017622 NC Primary
Gerontology Nurse Practitioner 363LG0600X LB0000209 DE

Addresses

Primary practice location

1600 Black Rock Rd
Royersford, PA 19468-3147

Mailing address

6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080520000791 DE Practitioner - Nurse Practitioner 2961571690 Reassigns benefits to 1 organization
I20230301000379 NC Practitioner - Nurse Practitioner 2961571690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5017622NCMDAdult Health Nurse Practitioner
LB0000209DEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Medical Services, Inc. CurrentSince Sep 23, 2019 Accepting new patients
Vascular Specialists, P.a. PastSince Jun 5, 2012 Accepting new patients
Genesis Eldercare Physician Services LLC Past Accepting new patients
Amna Medical Center, LLC Past Accepting new patients
Monty Leone Health Works Inc Past Accepting new patients

Locations

301 Ocean View Blvd
Lewes, DE 19958
Phone (302) 645-4664

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1710156880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "718-709-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BLACK ROCK RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683147",
            "telephone_number": "610-948-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKO",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5017622",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LB0000209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

Verify at the official NPI Registry.