Amanda Cancel

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

788870 Issued in NY

Practice address

162 Ada Dr
Staten Island, NY 10314-1403

Phone

(917) 417-1140

NPI assigned

Jul 15, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1336068998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ADA DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141403",
            "telephone_number": "917-417-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ADA DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141403",
            "telephone_number": "917-417-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "788870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Campos-Gatjens, FNP
• Dana Ashley Campos, RN
• Christopher Canale, RN
• Dennis Louis Canale, P.A.
• Jean Canavan, R.N.
• Marlon Vincent Dabu Cancio, OT
• Maryrosebeverly Gonzales Cancio, OTA
• John Robert Candela
• Ivan Candelaria, ATC, L, CSCS
• Jingle Candelasa

• Pediatric Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.