Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Vanessa Amaya

Individual provider Family Nurse Practitioner · NPI 1548801020

Kelly Vanessa Amaya is a Nurse Practitioner in Islandia, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2019

Practice location Address checks out

3001 Expressway Dr N
Islandia, NY 11749-5301
Phone: (631) 292-6747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344697 (NY)

Record details

NPI number1548801020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2019
Last updated in NPPESOctober 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Islandia