Individual provider Active NPI

Amanda Marie Rider Carchi, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1487993002
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016363 Issued in NY
Practice address
171 E 65TH St FL 2
New York, NY 10065-6607
Phone
(212) 321-7002
Fax
(415) 252-7176
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016363 NY
Physician Assistant 363A00000X 016363 NY Primary

Addresses

Primary practice location

171 E 65TH St FL 2
New York, NY 10065-6607

Mailing address

25 Hudson St
New York, NY 10013-3802
Phone (212) 441-4401

Other practice location 1

25 Hudson St
New York, NY 10013-3802
Phone (212) 441-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130828000229 NY Practitioner - Physician Assistant 1254574932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 0648408575, 29 clinicians
One Medical of Ny PCGroup PAC ID 3274713110, 72 clinicians

Practice addresses (Care Compare)

1155 Northern Blvd
Manhasset, NY 11030-3040
Phone (516) 407-4000

171 E 65TH St
New York, NY 10065-6607
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016363NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 12, 2026 Accepting new patients
Montefiore Medical Center CurrentSince Jan 12, 2026 Accepting new patients
One Medical of Ny, P.C. CurrentSince Jan 12, 2026 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

111 E 210th St
Bronx, NY 10467

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

25 Hudson St
New York, NY 10013
Phone (212) 441-4401

171 E 65th St
New York, NY 10065
Phone (212) 223-1025

171 E 65th St
#2
New York, NY 10065
Phone (212) 321-7002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1487993002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HUDSON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133802",
            "telephone_number": "212-441-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E 65TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656607",
            "telephone_number": "212-321-7002",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hudson St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100133802",
            "country_code": "US",
            "telephone_number": "212-441-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER CARCHI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016363",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.