Eva Asamoah, FNP
Individual provider Active NPI Family Nurse Practitioner · Centereach, NY
NPI 1831734136 · NPPES record last updated Nov 10, 2019
Key facts
- NPI
- 1831734136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F345213-01 (NY)
- Practice address
- 1787 Middle Country Rd # B
Centereach, NY 11720-3507 - Phone
- (631) 320-3053
- NPI assigned
- Nov 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20200522001523 | NY | Practitioner - Nurse Practitioner | 7113348475 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F345213-01 | NY | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current |
Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current |
Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
100 Nicolls Rd
Rm 20
Stony Brook, NY 11794
Phone (631) 444-7646
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- eva.asamoah@direct.stonybrookmedicine.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F345213-01 | NY | Yes |
Addresses
Primary practice location
1787 Middle Country Rd # B
Centereach, NY 11720-3507
Mailing address
129 Berkeley Ave
Selden, NY 11784-1903
Phone (631) 459-0693
Other providers in Centereach, NY
- Alyssa Margaret Angilella
- Anthony J Anzalone
- Apex Imaging and Services LLC
- Koren C Arevalo
- Lisa Ann Artale
- Katherine Atatsi
- Ilene Robin Augenlicht
- Malak Ishak Azab
- Wendy Jean Azmoun
- Carolyn Barravecchio
All providers in Centereach, NY · Family 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 Nov 10, 2019. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.