Amanda Pavia

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

4 Witteman PL
Staten Island, NY 10301-4627

Phone

(646) 645-5644

NPI assigned

Jan 3, 2021

Last updated

Jan 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1588252803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WITTEMAN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014627",
            "telephone_number": "646-645-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WITTEMAN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014627",
            "telephone_number": "646-645-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIA",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renald Paul, CDN
• Pauline Izzo, Nurse Practitioner in Family Health PC
• Princy Mary Paulose, PA-C
• Myles Paulson, LCSW
• Jennifer Pavelec, LMSW
• Carol Pavin, LCSW
• Janice M Pavis, DO
• Pavlides & Benson OB/GYN Associates, PC
• Anna C Pavlides, MD
• Maria Pawlak

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.