Active NPI
Amy Meadow, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1285922047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005422-1
- Practice address
- 430 W Broadway
2ND FL
New York, NY 10012-3784 - Phone
- (212) 941-0011
- NPI assigned
- Jul 14, 2011
- 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 | 005422-1 | NY | Primary |
Addresses
Primary practice location
430 W Broadway
2ND FL
New York, NY 10012-3784
Mailing address
430 W Broadway
2ND FL
New York, NY 10012-3784
Phone (212) 941-0011
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005422-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1285922047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W BROADWAY",
"address_2": "2ND FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123784",
"telephone_number": "212-941-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W BROADWAY",
"address_2": "2ND FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123784",
"telephone_number": "212-941-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOW",
"first_name": "AMY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005422-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.