Amanda Elle Staubitz

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

405216 Issued in NY

Practice address

276 Fifth Avenue Suite 704
PMB 70208
New York, NY 10001-1000

Phone

(631) 904-7173

Fax

(516) 241-1194

NPI assigned

Jul 26, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

The Long Island HomeGroup PAC ID 8224055108, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Long Island Home

  dba South Oaks Hospital

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  Medicare reassignment Care Compare group NPD
• Family and Children's Association - Hicksville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hicksville, NY
  • NPI 1528159217
  Medicare reassignment NPD
• Family and Children's Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD
• The Long Island Home

  dba South Oaks Hospital

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1841971520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIFTH AVENUE SUITE 704",
            "address_2": "PMB 70208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011000",
            "telephone_number": "516-615-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 FIFTH AVENUE SUITE 704",
            "address_2": "PMB 70208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011000",
            "telephone_number": "631-904-7173",
            "fax_number": "516-241-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBITZ",
        "first_name": "AMANDA",
        "middle_name": "ELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Beth Statter, RD
• Statue TC LLC
• Danielle Rosenfeld Staub, CDN
• Mallory Stauber
• Zachary Bernard Stauber, MD
• Cameron Noel Staubs-Friedmann, MD
• Peter Staubs
• Gillian B. Stauch, MS ED, LMSW
• Paige Staudenmaier
• Robert Staudinger, MD

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.