NPIMap

Individual provider Active NPI

Ama Gajanayake, PA-C

  • Medical Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1356066625
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066037 Issued in PA
Practice address
511 Vna Rd FL 1
East Stroudsburg, PA 18301-8502
Phone
(570) 664-8115
NPI assigned
Oct 10, 2022
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA066037 PA Primary

Addresses

Primary practice location

511 Vna Rd FL 1
East Stroudsburg, PA 18301-8502

Mailing address

156 Oak PL
Blakeslee, PA 18610-7834
Phone (570) 350-4156

Other practice location 1

221 Parkville Ave Ste 1
Brooklyn, NY 11230-1377
Phone (718) 676-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609001291 PA Practitioner - Physician Assistant 5890205918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

3701 Corriere Rd
Easton, PA 18045-7991

511 Vna Rd
FL 2
East Stroudsburg, PA 18301-8502
Phone (570) 369-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 9, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 9, 2025 Accepting new patients
Pulmonary Associates PC PastSince Jun 8, 2025 Accepting new patients
Lehigh Valley Physician Group Physician Assistant Past Accepting new patients
Family Care Centers Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

798 Hausman Rd
Ste 100
Allentown, PA 18104
Phone (610) 336-8260

2300 Highland Ave
Fl 1
Bethlehem, PA 18020

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

3701 Corriere Rd
Ste 17
Easton, PA 18045
Phone (610) 821-2828

3780 Hecktown Rd
Easton, PA 18045
Phone (610) 333-8888

Interoperability endpoints

  • Direct secure messaging: agajanayake626401@direct2.lvhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1356066625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 OAK PL",
            "city": "BLAKESLEE",
            "state": "PA",
            "postal_code": "186107834",
            "telephone_number": "570-350-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 VNA RD FL 1",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018502",
            "telephone_number": "570-664-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Parkville Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301377",
            "country_code": "US",
            "telephone_number": "718-676-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJANAYAKE",
        "first_name": "AMA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.