Individual provider Active NPI

Amanda Dechent

  • Certified Registered Nurse Anesthetist
  • Putnam Valley, NY
National Provider Identifier
1881269033
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
711633 Issued in NY
Practice address
104 Wiccopee Rd
Putnam Valley, NY 10579-1604
Phone
(914) 806-7947
NPI assigned
May 20, 2021
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F344069-1 NY
Certified Registered Nurse Anesthetist 367500000X 711633 NY Primary

Addresses

Primary practice location

104 Wiccopee Rd
Putnam Valley, NY 10579-1604

Mailing address

104 Wiccopee Rd
Putnam Valley, NY 10579-1604

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ad87004p@pace.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240805002016 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537606835 Reassigns benefits to 4 organizations
I20260520001074 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537606835 Reassigns benefits to 1 organization
I20260603002419 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537606835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Hudson Health Anesthesia PLLCGroup PAC ID 1052702883, 49 clinicians

Practice addresses (Care Compare)

1111 Westchester Ave
West Harrison, NY 10604-3525
Phone (914) 327-2700

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 378-6148

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000

310 E 14 St
New York, NY 10003-4201
Phone (212) 979-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F344069-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Hudson Health Anesthesia PLLC Single Specialty CurrentSince May 25, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jan 3, 2026 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

16 W 25th St
#2
New York, NY 10010
Phone (212) 516-8211

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

619 W 54th St
Fl 6
New York, NY 10019
Phone (212) 231-7778

6 Front St
Newburgh, NY 12550

Networks

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

Interoperability endpoints

  • Direct secure messaging: amd9070@direct.nyp.org

Organizations & group practices 9

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 2

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1881269033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WICCOPEE RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WICCOPEE RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791604",
            "telephone_number": "914-806-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHENT",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344069-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "711633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ad87004p@pace.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Wiccopee Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105791604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.