Individual provider Active NPI

Maria J Spinoso

  • School Registered Nurse
  • Baldwin, NY
National Provider Identifier
1710492723
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
547922-1 Issued in NY
Practice address
860 Atlantic Ave
Baldwin, NY 11510-4063
Phone
(516) 536-2221
NPI assigned
Dec 13, 2017
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 547922-1 NY Primary
Family Nurse Practitioner 363LF0000X 344059 NY

Addresses

Primary practice location

860 Atlantic Ave
Baldwin, NY 11510-4063

Mailing address

961 Bruce Dr
Wantagh, NY 11793-1115
Phone (516) 996-9477

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
I20201208002912 NY Practitioner - Nurse Practitioner 7517379910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
547922-1NYMDSchool Registered Nurse
344059NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amityville Medical Care P.C. CurrentSince Jul 21, 2020 Accepting new patients
Nicholas R Halper MD PC Past Accepting new patients

Locations

100 W Oak St
Amityville, NY 11701
Phone (631) 264-1800

Organizations & group practices 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1710492723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 BRUCE DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931115",
            "telephone_number": "516-996-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ATLANTIC AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104063",
            "telephone_number": "516-536-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINOSO",
        "first_name": "MARIA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "547922-1",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.