Amanda Rose Perez, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12617 Issued in CT

Practice address

1343 Boston Post Road
Suite 101
Madison, CT 06443-3481

Phone

(860) 669-6156

Fax

(860) 664-0285

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Connecticut Dermatology Group PLLCGroup PAC ID 9032147509, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: a.perez@schweigerderm.emadirect.md

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.

• The Connecticut Dermatology Group PLLC

  • Dermatology Physician
  • Norwalk, CT
  • NPI 1699881557
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Clinton, LLC

  • Dermatology Physician
  • Madison, CT
  • NPI 1457728883
  Medicare reassignment NPD
• Integrated Dermatology of Waterbury, LLC

  • Dermatology Physician
  • Waterbury, CT
  • NPI 1588136220
  Medicare reassignment NPD
• On Site Dermatology of Connecticut LLC

  • Dermatology Physician
  • Madison, CT
  • NPI 1326473661
  NPD
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1275249757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE COURT",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "860-741-2225",
            "fax_number": "860-664-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 BOSTON POST ROAD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433481",
            "telephone_number": "860-669-6156",
            "fax_number": "860-664-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Stemway Rd",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066111836",
            "country_code": "US",
            "telephone_number": "203-275-5803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Cambridge Drive",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114763",
            "country_code": "US",
            "telephone_number": "203-402-8816",
            "fax_number": "203-371-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143705",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Lee Petersen
• W. Dean Pfeifer, PHD
• Physical Therapy and Wellness Treatment Center, LLC
• Physical Therapy Center of Madison
• Taylor Marie Pisano, LMFT

• Family Nurse Practitioner in Madison, CT
• Providers in Madison, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.