Individual provider Active NPI

Amanda Morris

  • Physician Assistant
  • East Windsor, NJ
National Provider Identifier
1174976799
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00402500 Issued in NJ
Practice address
300A Princeton Hightstown Rd
202
East Windsor, NJ 08520-1421
Phone
(609) 371-9100
Fax
(609) 371-9110
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00402500 NJ Primary

Addresses

Primary practice location

300A Princeton Hightstown Rd
202
East Windsor, NJ 08520-1421

Mailing address

300A Princeton Hightstown Rd
202
East Windsor, NJ 08520-1421
Phone (609) 371-9100

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
I20160919001358 NJ Practitioner - Physician Assistant 5597052571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00402500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of North America LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

300A Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (609) 337-6496

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1174976799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD",
            "address_2": "202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-371-9100",
            "fax_number": "609-371-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD",
            "address_2": "202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-371-9100",
            "fax_number": "609-371-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00402500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.