NPIMap

Individual provider Active NPI

Amanda E Deal, D.O.

  • Family Medicine Physician
  • Woodstown, NJ
National Provider Identifier
1750776126
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10180300 Issued in NJ
Practice address
125 East Ave Ste C
Woodstown, NJ 08098-1351
Phone
(856) 769-2800
Fax
(856) 769-4256
NPI assigned
Apr 2, 2015
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10180300 NJ Primary

Addresses

Primary practice location

125 East Ave Ste C
Woodstown, NJ 08098-1351

Mailing address

125 East Ave Ste C
Woodstown, NJ 08098-1351
Phone (856) 769-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180822002893 NJ Practitioner - Family Practice 9133434798 Reassigns benefits to 2 organizations
I20180822003146 DE Practitioner - Family Practice 9133434798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives CurrentSince Jul 29, 2018 Accepting new patients
Christiana Care Health Initiatives CurrentSince Jul 29, 2018 Accepting new patients
Christiana Care Health Initiatives Family Medicine Current Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Jul 29, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 29, 2018 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Apr 1, 2024 Accepting new patients

Locations

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1450 Almonesson Rd
Ste 225
Deptford, NJ 08096
Phone (856) 227-8611

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

125 East Ave
Ste C
Woodstown, NJ 08098
Phone (856) 769-2800

Organizations & group practices 6

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 5

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1750776126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST AVE STE C",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST AVE STE C",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-2800",
            "fax_number": "856-769-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10180300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstown, NJ

Sources for this page

Verify at the official NPI Registry.