Amanda A Uzzell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00269900 Issued in NJ

Practice address

1100 Centennial Ave
Piscataway, NJ 08854-4152

Phone

(732) 981-1304

NPI assigned

Oct 20, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Enterprises PCGroup PAC ID 4486816048, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.uzzell@pccrm.eclinicaldirectplus.com

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.

• Pinnacle Enterprises PC

  • General Practice Physician
  • Phenix City, AL
  • NPI 1447374640

  AL

  Medicare reassignment Care Compare group
• One Healthcare LLC

  • Internal Medicine Physician
  • Piscataway, NJ
  • NPI 1982832077
  NPD (past)
• Fort Mitchell Clinic PC

  • Rural Health Clinic/Center
  • Ft Mitchell, AL
  • NPI 1568748242
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1619252665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-981-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZZELL",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00269900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Medicine and Dentistry of NJ
• Unlimited Caring Hands LLC
• Anu Upadhyay, MD
• Jessica Urrutia
• William Ussery, LPC
• Melissa Vaccari
• Khushboo Vagisha, DMD
• Monika Starr Vakulchik, M.ED., M.S. CCC-SLP
• Elvin Vallejo, LPC
• Ruby Valles, MSW

• All providers in Piscataway, NJ
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.