Individual provider Active NPI

Amber Medina

  • Physician Assistant
  • Bridgewater, NJ
National Provider Identifier
1881586790
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00947900 Issued in NJ
Practice address
245 Union Ave Ste 1a
Bridgewater, NJ 08807-3064
Phone
(732) 443-3975
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00947900 NJ Primary

Addresses

Primary practice location

245 Union Ave Ste 1a
Bridgewater, NJ 08807-3064

Mailing address

38 Rockview Ave
North Plainfield, NJ 07060-4512

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251010003860 NJ Practitioner - Physician Assistant 6709383086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

245 Union Ave
Suite 1B
Bridgewater, NJ 08807-3092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00947900NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P and S Medical Group LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

245 Union Ave
Ste 1A
Bridgewater, NJ 08807
Phone (732) 443-3975

245 Union Ave
Ste 1B
Bridgewater, NJ 08807
Phone (732) 443-3975

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1881586790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ROCKVIEW AVE",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 UNION AVE STE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "732-443-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00947900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.