Individual provider Active NPI

Amy Gupiteo, F. N. P.

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1730407180
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336175-1 Issued in NY
Practice address
191 Bradley Ave
Golden Gate Nursing Home
Staten Island, NY 10314-5166
Phone
(718) 351-1136
Fax
(718) 876-5969
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336175-1 NY Primary

Addresses

Primary practice location

191 Bradley Ave
Golden Gate Nursing Home
Staten Island, NY 10314-5166

Mailing address

97 New Dorp LN
Suite a
Staten Island, NY 10306-2364
Phone (718) 876-6220

Other identifiers 1

IdentifierTypeStateIssuer
03282602MedicaidNY

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

LicenseStateTypeSpecialty
F336175-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1730407180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN",
            "address_2": "SUITE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062364",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BRADLEY AVE",
            "address_2": "GOLDEN GATE NURSING HOME",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145166",
            "telephone_number": "718-351-1136",
            "fax_number": "718-876-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPITEO",
        "first_name": "AMY",
        "credential": "F. N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336175-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03282602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.