Individual provider Active NPI

Amanda Lynn Georgiopoulos, NP

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1083592141
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15417500 Issued in NJ
Practice address
39 Green Tree Dr
Jackson, NJ 08527-4758
Phone
(646) 831-4381
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F353585-01 NY
Family Nurse Practitioner 363LF0000X 26NJ15417500 NJ Primary

Addresses

Primary practice location

39 Green Tree Dr
Jackson, NJ 08527-4758

Mailing address

39 Green Tree Dr
Jackson, NJ 08527-4758
Phone (646) 831-4381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105002932 NJ Practitioner - Nurse Practitioner 8325534829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Physician EnterpriseGroup PAC ID 5597917633, 71 clinicians

Practice addresses (Care Compare)

593 Cranbury Rd
Suite 2
East Brunswick, NJ 08816-4093
Phone (732) 390-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15417500NJMDFamily Nurse Practitioner
F353585-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Single Specialty CurrentSince Oct 24, 2025 Accepting new patients

Locations

593 Cranbury Rd
Ste 2
East Brunswick, NJ 08816
Phone (732) 390-3333

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1083592141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREEN TREE DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274758",
            "telephone_number": "646-831-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN TREE DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274758",
            "telephone_number": "646-831-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIOPOULOS",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353585-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15417500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.