Individual provider Active NPI

Amanda Adiyia, APN

  • Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1295339398
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01074000 Issued in NJ
Practice address
15 W Prospect Street Suite 3
East Brunswick, NJ 08816-2736
Phone
(732) 301-4465
Fax
(732) 301-4492
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01074000 NJ Primary

Addresses

Primary practice location

15 W Prospect Street Suite 3
East Brunswick, NJ 08816-2736

Mailing address

15 W Prospect St Ste 3
East Brunswick, NJ 08816-2161
Phone (732) 301-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210302002137 NJ Practitioner - Nurse Practitioner 2365858164 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arc Mercer Inc 7 clinicians

Practice addresses (Care Compare)

15 W Prospect St
East Brunswick, NJ 08816-2161
Phone (732) 301-4465

1542 Kuser Rd
Suite B7
Hamilton, NJ 08619-3829
Phone (609) 989-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01074000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 1, 2021 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Apr 30, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 1, 2021 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Apr 30, 2021 Accepting new patients
Arc Mercer, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Vimax LLC CurrentSince Apr 15, 2022 Accepting new patients
Vimax LLC CurrentSince Apr 15, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

6 Cornwall Ct
Ste B
East Brunswick, NJ 08816
Phone (732) 955-4141

180 Ewingville Rd
Ewing, NJ 08638

3131 Princeton Pike
Ste 5-109
Lawrenceville, NJ 08648

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

601 Ewing St
Ste B5
Princeton, NJ 08540
Phone (609) 865-2246

1749 Hooper Ave
Ste 202
Toms River, NJ 08753
Phone (732) 930-1020

1542 Kuser Rd
Ste B7
Trenton, NJ 08619
Phone (609) 581-1400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1295339398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W PROSPECT ST STE 3",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162161",
            "telephone_number": "732-301-4465",
            "fax_number": "732-301-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W PROSPECT STREET SUITE 3",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162736",
            "telephone_number": "732-301-4465",
            "fax_number": "732-301-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIYIA",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01074000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.