Individual provider Active NPI

Frank O Amanze, CRNP

  • Gerontology Nurse Practitioner
  • Chester, PA
National Provider Identifier
1922569367
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP019781 Issued in PA
Practice address
30 Medical Center Blvd Ste 302
Chester, PA 19013-3957
Phone
(610) 872-8501
NPI assigned
Mar 28, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP019781 PA Primary

Addresses

Primary practice location

30 Medical Center Blvd Ste 302
Chester, PA 19013-3957

Mailing address

30 Medical Center Blvd Ste 302
Chester, PA 19013-3957
Phone (610) 872-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190924000123 PA Practitioner - Nurse Practitioner 3971833682 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019781PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 4

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1922569367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 302",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133957",
            "telephone_number": "610-872-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 302",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133957",
            "telephone_number": "610-872-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANZE",
        "first_name": "FRANK",
        "middle_name": "O",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.