Individual provider Active NPI

Amanda Ramadan

  • Family Medicine Physician
  • Sleepy Hollow, NY
National Provider Identifier
1710566609
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332052 Issued in NY
Practice address
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone
(914) 366-3000
NPI assigned
Apr 7, 2021
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 332052 NY Primary

Addresses

Primary practice location

701 N Broadway
Sleepy Hollow, NY 10591-1020

Mailing address

354 E 91St St Apt 2106
New York, NY 10128-0090
Phone (631) 413-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807000577 NY Practitioner - Family Practice 5799222857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Hudson Peconic IncGroup PAC ID 8921376138, 17 clinicians

Practice addresses (Care Compare)

175 Tarrytown Rd
White Plains, NY 10607-1607
Phone (914) 761-6566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jul 25, 2024 Accepting new patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Sep 16, 2024 Accepting new patients
Open Door Family Medical Center Inc Current Accepting new patients
Open Door Family Medical Center Inc CurrentSince Aug 26, 2024 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Aug 26, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 25, 2024 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

570 Taxter Rd
Ste 250
Elmsford, NY 10523
Phone (914) 761-6566

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

150 Lockwood Ave
Ste LL-1
New Rochelle, NY 10801
Phone (914) 632-4442

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 220-1026

20 S Broadway
#11
Yonkers, NY 10701

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aramadan65442@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1710566609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 E 91ST ST APT 2106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280090",
            "telephone_number": "631-413-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-366-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.