Active NPI
Ann Hamill
- Specialist
- Staten Island, NY
National Provider Identifier
1881384295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1215844
- Practice address
- 342 Bryson Ave
Staten Island, NY 10314-1925 - Phone
- (718) 702-7130
- NPI assigned
- May 9, 2023
- Last updated
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 1215844 | NY | |
| Specialist | 174400000X | 1215844 | NY | Primary |
Addresses
Primary practice location
342 Bryson Ave
Staten Island, NY 10314-1925
Mailing address
342 Bryson Ave
Staten Island, NY 10314-1925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215844 | NY | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1881384295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 BRYSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 BRYSON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141925",
"telephone_number": "718-702-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILL",
"first_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NY",
"license": "1215844",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1215844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.