Active NPI
Amita Avadhani, DNP, APN
- Acute Care Nurse Practitioner
- New Brunswick, NJ
National Provider Identifier
1093043705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00043900
- Practice address
- 254 Easton Ave
5G- Adult ICU
New Brunswick, NJ 08901-1766 - Phone
- (732) 745-8600
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00043900 | NJ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00043900 | NJ |
Addresses
Primary practice location
254 Easton Ave
5G- Adult ICU
New Brunswick, NJ 08901-1766
Mailing address
254 Easton Ave
5G- Adult ICU
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110204000157 | NJ | Practitioner - Nurse Practitioner | 7618157884 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00043900 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allevate Medical Group LLC | Current | Accepting new patients | |
| Allevate Health Medical Group | Current | Accepting new patients |
Locations
707 State Rd
Ste 105
Princeton, NJ 08540
Phone (732) 508-0306
Organizations & group practices 2
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.
-
- General Practice Physician
- Princeton, NJ
- NPI 1588530323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1093043705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"address_2": "5G- ADULT ICU",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"address_2": "5G- ADULT ICU",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVADHANI",
"first_name": "AMITA",
"name_prefix": "Dr.",
"credential": "DNP, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00043900",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00043900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.