Individual provider Active NPI

Nahomie D'Amato, FNP

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1770315186
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354406-01 Issued in NY
Practice address
548 51St Ave Apt 2L
Long Island City, NY 11101-5821
Phone
(718) 450-7876
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 F354406-01 NY Primary

Addresses

Primary practice location

548 51St Ave Apt 2L
Long Island City, NY 11101-5821

Mailing address

548 51St Ave Apt 2L
Long Island City, NY 11101-5821
Phone (718) 450-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260320003676 TX Practitioner - Nurse Practitioner 9830673417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Woundcare PLLCGroup PAC ID 5496239063, 4 clinicians

Practice addresses (Care Compare)

12655 N Central Expy
Suite 305
Dallas, TX 75243-1752
Phone (469) 505-4325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F354406-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Mobile Woundcare LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1770315186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 51ST AVE APT 2L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015821",
            "telephone_number": "718-450-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 51ST AVE APT 2L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015821",
            "telephone_number": "718-450-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "NAHOMIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354406-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.