Active NPI
Amoy Hines
- Nurse Practitioner
- Poughkeepsie, NY
National Provider Identifier
1952788648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F333901-1
- Practice address
- 15 Fulton Ave
Poughkeepsie, NY 12603-2315 - Phone
- (845) 473-8996
- NPI assigned
- May 1, 2015
- Last updated
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F333901-1 | NY | Primary |
Addresses
Primary practice location
15 Fulton Ave
Poughkeepsie, NY 12603-2315
Mailing address
1805 Baldwin Lane
Newburgh, NY 12550
Phone (845) 544-8325
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333901-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Nurse Practitioner | Current | Accepting new patients |
Locations
250 Skillman St
Ste 202
Brooklyn, NY 11205
393 Broadway
Brooklyn, NY 11211
Phone (516) 984-9692
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1952788648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 BALDWIN LANE",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-544-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FULTON AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032315",
"telephone_number": "845-473-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "AMOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F333901-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.