Amanda Lee, RN, CRNP
Individual provider Active NPI Pediatric Nurse Practitioner · New Brunswick, NJ
NPI 1376793547 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1376793547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 26NJ00749900 (NJ)
- Practice address
- 1 Robert Wood Johnson PL FL 1
New Brunswick, NJ 08901-1928 - Phone
- (732) 828-3000
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutgers Health-RWJ Pediatric Critical Care
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 235-7887
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221000915 | NJ | Practitioner - Nurse Practitioner | 5294105912 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP009295 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Current |
Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current |
Accepting new patients | |
| Robert Wood Johnson Medical Associates | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past |
Accepting new patients |
Locations
155 Polifly Rd
Ste 102
Hackensack, NJ 07601
Phone (551) 996-8840
1 Robert Wood Johnson Pl
Fl E
New Brunswick, NJ 08901
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
1 Robert Wood Johnson Pl
Fl 1
New Brunswick, NJ 08901
Phone (732) 235-7905
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
Interoperability endpoints
- alee17848@epicdirect.rwjbh.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP009295 | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00749900 | NJ | Yes |
Addresses
Primary practice location
1 Robert Wood Johnson PL FL 1
New Brunswick, NJ 08901-1928
Mailing address
34TH and Civic Center Blvd
Division of Endocrinology Suite 11NW30
Philadelphia, PA 19104
Phone (267) 426-7040
Other practice location 1
34th and Civic Center Blvd
Division of Endocrinology Suite 11NW30
Philadelphia, PA 19104
Phone (267) 426-7040
Other practice location 2
155 Polifly Rd Ste 102
Hackensack, NJ 07601-1771
Phone (551) 996-8840
Other names
- Amanda Beattie
Other providers in New Brunswick, NJ
- Ibiyonu Omowunmi Lawrence
- Zachary Lawrence
- Jonathan Jospeh Lebowitz
- Dario Alberto Lecusay III
- Magdalene Rose Lederer
- Hannah Lee
- Harrison Don-Yiu Lee
- James Dongmin Lee
- Ji Won Lee
- Melanie Lee
All providers in New Brunswick, NJ · Pediatric Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.