Alfred Biagio Amendolara Jr., DO
Individual provider Active NPI Neurology Physician · Easton, PA
NPI 1083316756 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1083316756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- OT024262 (PA)
- Practice address
- 2403 Butler St
Easton, PA 18042-5302 - Phone
- (484) 526-5210
- Fax
- (866) 568-6561
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250512000982 | PA | Order and Referring Only - Neurology |
8729505920 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT024262 | PA | MD | Neurology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OT024262 | PA | Yes |
Addresses
Primary practice location
2403 Butler St
Easton, PA 18042-5302
Mailing address
2403 Butler St
Easton, PA 18042-5302
Phone (484) 526-5210
Other providers in Easton, PA
- Avram Altman
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- Amy Alves
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- Susan Amato
- American Medical & Neuropsychiatric Services Inc.
- Atul K Amin
- Devendra Kanaiyalal Amin
- Jodi E Amorese
- Anthony Amoroso
All providers in Easton, PA · Neurology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.