Individual provider Active NPI

Amanpreet K Gill, CRNP

  • Adult Health Clinical Nurse Specialist
  • Columbus, NJ
National Provider Identifier
1194035139
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ00296600 Issued in NJ
Practice address
30 Belmont Circle
Columbus, NJ 08022
Phone
(510) 754-1435
NPI assigned
Oct 8, 2010
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ00296600 NJ Primary

Addresses

Primary practice location

30 Belmont Circle
Columbus, NJ 08022

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873
Phone (215) 710-7037

Other practice location 1

1203 Langhorne Newtown Rd Ste 226
Langhorne, PA 19047-1224
Phone (215) 710-4460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agill2@providers.smpa.myhealthprovider.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120109000360 PA Practitioner - Nurse Practitioner 1153597414 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00296600NJMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lofts Medical Associates,PC CurrentSince Sep 20, 2014 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Apr 1, 2017 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Apr 1, 2017 Accepting new patients
Mercer Bucks Medical Associates, P.C. CurrentSince Feb 20, 2023 Accepting new patients
Comprehensive Care Medical Associates P C CurrentSince Nov 5, 2011 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

100 N Buckstown Rd
Ste E206
Langhorne, PA 19047
Phone (215) 741-1963

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

170 Middletown Blvd
Ste 101
Langhorne, PA 19047
Phone (215) 757-8100

350 Manor Ave
Langhorne, PA 19047
Phone (215) 757-7667

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

8350 Roosevelt Blvd
Ste B
Philadelphia, PA 19152

333 Newtown Rd
Warminster, PA 18974
Phone (215) 672-9082

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1194035139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "215-710-7037",
            "fax_number": "215-710-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELMONT CIRCLE",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "08022",
            "telephone_number": "510-754-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471224",
            "country_code": "US",
            "telephone_number": "215-710-4460",
            "fax_number": "215-710-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "AMANPREET",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00296600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agill2@providers.smpa.myhealthprovider.org",
            "affiliation": "N",
            "endpointDescription": "SMMC Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1203 Langhorne Newtown Rd Ste 226",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

Verify at the official NPI Registry.