Active NPI
Gilberto Amador, RSA
- Physician Assistant
- Cliffside Park, NJ
National Provider Identifier
1568746196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- O000092-1
- Practice address
- 569 Olympia Ave
Cliffside Park, NJ 07010-1716 - Phone
- (201) 835-3067
- Fax
- (201) 840-8516
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | O000092-1 | NY | Primary |
Addresses
Primary practice location
569 Olympia Ave
Cliffside Park, NJ 07010-1716
Mailing address
569 Olympia Ave
Cliffside Park, NJ 07010-1716
Phone (201) 835-3067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O000092-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1568746196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 OLYMPIA AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101716",
"telephone_number": "201-835-3067",
"fax_number": "201-840-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 OLYMPIA AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101716",
"telephone_number": "201-835-3067",
"fax_number": "201-840-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "GILBERTO",
"credential": "RSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "O000092-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.