Individual provider Active NPI

Amanda Lee, RN, CRNP

  • Pediatric Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1376793547
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00749900 Issued in NJ
Practice address
1 Robert Wood Johnson PL FL 1
New Brunswick, NJ 08901-1928
Phone
(732) 828-3000
NPI assigned
Sep 24, 2008
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP009295 PA
Pediatric Nurse Practitioner 363LP0200X 26NJ00749900 NJ Primary

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 1

  • Amanda Beattie Former name

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
I20221221000915 NJ Practitioner - Nurse Practitioner 5294105912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 235-7887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP009295PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Apr 17, 2026 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jul 1, 2024 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Sep 10, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Apr 17, 2026 Accepting new patients

Locations

155 Polifly Rd
Ste 102
Hackensack, NJ 07601
Phone (551) 996-8840

1 Robert Wood Johnson Pl
Fl 1
New Brunswick, NJ 08901
Phone (732) 235-7905

1 Robert Wood Johnson Pl
Fl E
New Brunswick, NJ 08901

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

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: alee17848@epicdirect.rwjbh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1376793547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34TH AND CIVIC CENTER BLVD",
            "address_2": "DIVISION OF ENDOCRINOLOGY SUITE 11NW30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "267-426-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL FL 1",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-828-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34th and Civic Center Blvd",
            "address_2": "Division of Endocrinology Suite 11NW30",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "267-426-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Polifly Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011771",
            "country_code": "US",
            "telephone_number": "551-996-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP009295",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00749900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BEATTIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.