Amanda Goncalves, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00747700 Issued in NJ

Practice address

1200 Eagle Ave
Ocean, NJ 07712-7631

Phone

(732) 660-6200

NPI assigned

Aug 24, 2017

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 NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospitalist Physicians of New Jersey PA

  • Hospitalist Physician
  • Edison, NJ
  • NPI 1588021851
  Medicare reassignment NPD
• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313
  Medicare reassignment NPD
• Renew Wound Care of New Jersey LLC

  • Family Medicine Physician
  • Trenton, NJ
  • NPI 1245815851
  Medicare reassignment NPD
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • Ocean, NJ
  • NPI 1982618757
  Medicare reassignment NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment NPD
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • East Brunswick, NJ
  • NPI 1356215867
  NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1649797382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAK LEAF DR",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "077181700",
            "telephone_number": "848-467-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00747700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Goedkoop
• Gold Chris Associates LLC
• Gold Chris Associates, LLC
• Grigory R Goldberg, MD
• Golden Hour Counseling L.L.C.
• Rona E Gordon, LCSW
• Jack Gould, DO
• Joseph Thomas Gower, M.D.
• Craig Benjamin Graceffo, MAC.
• Meghan Aileen Grant Hayes

• Adult Health Nurse Practitioner in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.