NPIMap

Organization Active NPI

Empire NP Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1982213005
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EMPIRE NP PSYCHIATRY PC
Practice address
100 N Village Ave Ste 27
Rockville Centre, NY 11570-3712
Phone
(516) 784-0377
Fax
(516) 888-8235
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Yoel Wartenberg, NPNPI 1649824145
Title
Owner
Phone
(516) 784-0377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

100 N Village Ave Ste 27
Rockville Centre, NY 11570-3712

Mailing address

2 Hazel PL
Woodmere, NY 11598-1108
Phone (516) 784-0377

Other identifiers 2

IdentifierTypeStateIssuer
05911624MedicaidNY
1062908OtherNYBEACON HEALTH OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222001189 NY Part B Supplier - Clinic/Group Practice 2668884321 Receives reassigned benefits from 12 practitioners
Practice locations: Rockville Centre, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1982213005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAZEL PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981108",
            "telephone_number": "516-784-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VILLAGE AVE STE 27",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703712",
            "telephone_number": "516-784-0377",
            "fax_number": "516-888-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE NP PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "WARTENBERG",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-784-0377",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05911624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "1062908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.