Individual provider Active NPI

Amanda Lee Ivos, DNP, FNP-BC

  • Family Nurse Practitioner
  • Fairfield, NJ
National Provider Identifier
1285516757
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15363900 Issued in NJ
Practice address
333A Route 46 W Ste 135
Fairfield, NJ 07004-2463
Phone
(973) 943-4300
Fax
(973) 227-3335
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15363900 NJ Primary

Addresses

Primary practice location

333A Route 46 W Ste 135
Fairfield, NJ 07004-2463

Mailing address

333A Route 46 W Ste 135
Fairfield, NJ 07004-2463
Phone (973) 943-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ15363900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Integrative Health & Wellness, PC CurrentSince Jul 28, 2025 Accepting new patients
Mecca Integrated Medical Center, LLC PastSince Dec 11, 2009 Accepting new patients

Locations

155 US Highway 46
Ste 300
Wayne, NJ 07470
Phone (862) 666-9285

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1285516757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333A ROUTE 46 W STE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042463",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333A ROUTE 46 W STE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042463",
            "telephone_number": "973-943-4300",
            "fax_number": "973-227-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVOS",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15363900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.