Individual provider Active NPI

Geeta K Verma, DNP, FNP-BC, WCC

  • Family Nurse Practitioner
  • Amityville, NY
National Provider Identifier
1760015903
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345523 Issued in NY
Practice address
333 Broadway
Amityville, NY 11701-2719
Phone
(631) 789-2020
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 345523 NY Primary

Addresses

Primary practice location

333 Broadway
Amityville, NY 11701-2719

Mailing address

1410 Northern Blvd # 1141
Manhasset, NY 11030-3051
Phone (516) 244-4033

Other practice location 1

1445 Surprise St
Elmont, NY 11003-2409
Phone (516) 244-4033

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
I20200901003054 NY Practitioner - Nurse Practitioner 0648601781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State NP in Family HealthGroup PAC ID 5698264711, 2 clinicians

Practice addresses (Care Compare)

333 Broadway
Amityville, NY 11701-2719
Phone (631) 789-2020

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Centerwell Home Health Home health agency, Westbury, NY, CCN 337289
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345523NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State NP in Family Health Family CurrentSince Oct 9, 2025 Accepting new patients
BK Goyal MD PC CurrentSince May 1, 2020 Accepting new patients

Locations

333 Broadway
Amityville, NY 11701
Phone (516) 789-2020

1141 Northern Blvd
Manhasset, NY 11030

1410 Northern Blvd
#1141
Manhasset, NY 11030

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1760015903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTHERN BLVD # 1141",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303051",
            "telephone_number": "516-244-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Surprise St",
            "address_purpose": "LOCATION",
            "city": "Elmont",
            "state": "NY",
            "postal_code": "110032409",
            "country_code": "US",
            "telephone_number": "516-244-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "GEETA",
        "middle_name": "K",
        "credential": "DNP, FNP-BC, WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.