Active NPI
Amna Vahidy Mehmood, PA-C
- Physician Assistant
- Verona, NJ
National Provider Identifier
1033651690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00408100
- Practice address
- 799 Bloomfield Ave
Suite 301
Verona, NJ 07044-1367 - Phone
- (973) 826-4920
- NPI assigned
- Nov 14, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00408100 | NJ | Primary |
Addresses
Primary practice location
799 Bloomfield Ave
Suite 301
Verona, NJ 07044-1367
Mailing address
799 Bloomfield Ave
Suite 301
Verona, NJ 07044-1367
Phone (973) 826-4920
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 |
|---|---|---|---|
| 25MP00408100 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1033651690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE",
"address_2": "SUITE 301",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441367",
"telephone_number": "973-826-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE",
"address_2": "SUITE 301",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441367",
"telephone_number": "973-826-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHMOOD",
"first_name": "AMNA",
"middle_name": "VAHIDY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00408100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.