Active NPI
Segundo Amarga
- Allergy & Immunology (Internal Medicine) Physician
- Ozone Park, NY
National Provider Identifier
1770504169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 127088
- Practice address
- 9120 Atlantic Avenue
Ozone Park, NY 11416 - Phone
- (718) 641-8207
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 127088 | NY | Primary |
Addresses
Primary practice location
9120 Atlantic Avenue
Ozone Park, NY 11416
Mailing address
89-06 135TH Street
7L
Jamaica, NY 11418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00407369 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127088 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770504169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89-06 135TH STREET",
"address_2": "7L",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 ATLANTIC AVENUE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11416",
"telephone_number": "718-641-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARGA",
"first_name": "SEGUNDO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NY",
"license": "127088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00407369",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.