Active NPI
Amos Hare, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011536
- Practice address
- 339 Hicks St
Brooklyn, NY 11201-5509 - Phone
- (718) 780-1206
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011536 | NY | Primary |
Addresses
Primary practice location
339 Hicks St
Brooklyn, NY 11201-5509
Mailing address
113 6TH Ave
Brooklyn, NY 11217-2810
Phone (207) 650-4860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Lich Faculty Practice | Physician Assistant | Past | Accepting new patients |
| Long Island College Hospital | Physician Assistant | Past | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- ahare286366@direct.uvmhealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
dba Central Vermont Hospital
- Internal Medicine Physician
- Berlin, VT
- NPI 1831374362
-
dba Emergency physicians at LICH
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1912091828
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740492610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 6TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172810",
"telephone_number": "207-650-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HICKS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015509",
"telephone_number": "718-780-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "AMOS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.