Active NPI
Amanda Nicole Conti, PA-C
- Physician Assistant
- Norwalk, CT
National Provider Identifier
1235752049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4825
- Practice address
- 34 Maple St
Norwalk, CT 06850-3894 - Phone
- (203) 852-2000
- NPI assigned
- May 27, 2020
- Last updated
- Jul 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4825 | CT | Primary |
Addresses
Primary practice location
34 Maple St
Norwalk, CT 06850-3894
Mailing address
34 Maple St
Norwalk, CT 06850-3894
Phone (203) 852-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Norwalk Hospital Association | Current | Accepting new patients | |
| QMG7,LLC | Past | Accepting new patients |
Locations
34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000
520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1235752049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MAPLE ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503894",
"telephone_number": "203-852-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MAPLE ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503894",
"telephone_number": "203-852-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "4825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.