Rowena Alimboyoguen Amistad, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Manhasset, NY
NPI 1801188552 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1801188552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- F305578-1 (NY)
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 562-0100
- NPI assigned
- May 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752
221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000
Hospital & facility affiliations
- North Shore University Hospital
- Plainview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120222000006 | NY | Practitioner - Nurse Practitioner | 4284892233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305578-1 | NY | MD | Acute Care Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients |
Locations
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F305578-1 | NY | Yes |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Other providers in Manhasset, NY
- Kelly Anne Ambrosio
- Catherine Amico
- Alia Amin
- Jonathan Aminov
- Jossef Amirian
- Kirby An
- Samuel Anandan
- Vollter Anastas
- Nina Denise Anastasis
- Heather Jean Anderson
All providers in Manhasset, NY · Acute Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.