AMITY HEALTHCARE SERVICES
NPI 1275083305
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ

Active since October 13, 2016
936 STUYVESANT AVE, UNION, NJ 07083(469) 257-3500(908) 686-6549 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Sep 13, 2024, Mar 19, 2020 and 1 more (4 updates tracked since 2016).

About Amity Healthcare Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMITY HEALTHCARE SERVICES (NPI 1275083305), doing business as Amity Healthcare Services, Llc, is a healthcare organization registered as a psychiatric/mental health in Union, New Jersey and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Union and lists Olufunmilayo O. Ilori, Owner, as its authorized official.

NPPES Registry Identity

NPI1275083305
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAMITY HEALTHCARE SERVICES
Location Address936 STUYVESANT AVEUnion, NJ 07083-6991
Mailing Address936 Stuyvesant AveUnion, NJ 07083-6991 · (469) 257-3500 · Fax (908) 686-6549
Fax(908) 686-6549
Organization SubpartNo
Authorized OfficialOlufunmilayo O. IloriOwner · (469) 257-3500
Enumeration DateOctober 13, 2016
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1275083305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
936 STUYVESANT AVE, Union, NJ 07083

Other Names 1

Doing Business AsAmity Healthcare Services, Llc

Secondary Practice Location 1

Location 12731 Alice TerUnion, NJ 07083-4102 · Phone (469) 257-3500 · Fax (917) 534-6872

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amity Healthcare Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Amity Healthcare Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1679222814
936 STUYVESANT AVE
Union, NJ 07083
(908) 557-9015
✔ PECOSSame address
Nurse Practitioner
NPI 1154011120
936 STUYVESANT AVE
Union, NJ 07083
(973) 449-9885
✔ PECOSSame address
Nurse Practitioner
NPI 1700142445
1000 GALLOPING HILL ROAD
Union, NJ 07083
(908) 598-6655
✔ PECOS1.5 mi
Clinical Social Worker
NPI 1417748807
512 WARREN AVE
Spring Lake, NJ 07762
(732) 575-0506
✔ PECOS40 mi
Nurse Practitioner
NPI 1598218042
9894 BISSONNET ST STE 210
Houston, TX 77036
(469) 257-3500
✔ PECOS1,418 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amity Healthcare Services's NPI number?

The NPI number for Amity Healthcare Services is 1275083305. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Amity Healthcare Services, LLC.

Where is Amity Healthcare Services located?

Amity Healthcare Services is located at 936 Stuyvesant Ave, Union, NJ 07083. The listed phone number is (469) 257-3500.

What is Amity Healthcare Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amity Healthcare Services enrolled in Medicare?

Yes. Amity Healthcare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amity Healthcare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Amity Healthcare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amity Healthcare Services was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.