Active NPI
Amanda Nicole Davis
- Physician Assistant
- Astoria, NY
National Provider Identifier
1437065042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2818 Astoria Blvd
Astoria, NY 11102-4751 - Phone
- (917) 419-6905
- NPI assigned
- Aug 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2818 Astoria Blvd
Astoria, NY 11102-4751
Mailing address
9477 White Horse Way
Elk Grove, CA 95624-6057
Phone (916) 724-9505
Other practice location 1
535 Clinton Ave
Brooklyn, NY 11238-6589
Phone (917) 410-6905
Other practice location 2
3559 84th St
Jackson Heights, NY 11372-5367
Phone (917) 410-6905
Other practice location 3
200 W 57th St Ste 307
New York, NY 10019-3211
Phone (917) 410-6905
Other practice location 4
7001 Metropolitan Ave
Middle Village, NY 11379-2191
Phone (927) 410-6905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1437065042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9477 WHITE HORSE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956246057",
"telephone_number": "916-724-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 ASTORIA BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024751",
"telephone_number": "917-419-6905"
}
],
"practiceLocations": [
{
"address_1": "535 Clinton Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112386589",
"country_code": "US",
"telephone_number": "917-410-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3559 84th St",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "113725367",
"country_code": "US",
"telephone_number": "917-410-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W 57th St Ste 307",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100193211",
"country_code": "US",
"telephone_number": "917-410-6905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7001 Metropolitan Ave",
"address_purpose": "LOCATION",
"city": "Middle Village",
"state": "NY",
"postal_code": "113792191",
"country_code": "US",
"telephone_number": "927-410-6905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-22",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.