Emily Amodeo, AGAC-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Summit, NJ
NPI 1558072371 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1558072371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ01406500 (NJ)
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-2000
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01406500 | NJ | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01406500 | NJ | Yes |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
99 Beauvoir Ave
Summit, NJ 07901-3533
Other providers in Summit, NJ
- Joseph F Altongy
- Chase Thomas Amacher
- American Holistic Health Care LLC
- Ava Amiano
- Vijeta G. Amin
- Brian D Anderson
- Kay Louise Anderson
- Sharen G Anghel
- Cynthia E. Anglemyer
- Rajyashree Anjutgi
All providers in Summit, NJ · Acute Care 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 Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.