Individual provider Active NPI

Amanda Rose Riley, NP

  • Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1598040388
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01332400 Issued in NJ
Practice address
1541 Route 88 Ste a
Brick, NJ 08724-2373
Phone
(732) 836-3200
Fax
(732) 836-3201
NPI assigned
Oct 12, 2011
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R234066 MD
Nurse Practitioner 363L00000X 26NJ01332400 NJ Primary

Addresses

Primary practice location

1541 Route 88 Ste a
Brick, NJ 08724-2373

Mailing address

1541 Route 88 Ste a
Brick, NJ 08724-2373
Phone (732) 836-3200

Other practice location 1

2A Plaza Dr
Toms River, NJ 08757-3756
Phone (732) 818-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151022001711 VA Practitioner - Nurse Practitioner 5890002166 Reassigns benefits to 1 organization
I20230523001370 NJ Practitioner - Nurse Practitioner 5890002166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R234066MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 14, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 14, 2025 Accepting new patients
Jersey Coast Nephrology and Hypertension Associates LLC CurrentSince Jan 26, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 21, 2015 Accepting new patients
Northeast Kidney Care LLC PastSince Apr 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1541 State Route 88
Ste A
Brick, NJ 08724
Phone (732) 818-0700

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: alalicato535365@direct.umm.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1598040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 ROUTE 88 STE A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242373",
            "telephone_number": "732-836-3200",
            "fax_number": "732-836-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ROUTE 88 STE A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242373",
            "telephone_number": "732-836-3200",
            "fax_number": "732-836-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2A Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087573756",
            "country_code": "US",
            "telephone_number": "732-818-0700",
            "fax_number": "732-818-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R234066",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01332400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.