Active NPI
Amanda Marie Bagdasarian, CPNP-PC
- Pediatric Nurse Practitioner
- Voorhees, NJ
National Provider Identifier
1952906158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP022711
- Practice address
- 1197 Airport Rd Ste 5
Voorhees, NJ 08043-9603 - Phone
- (856) 751-7880
- Fax
- (856) 751-9133
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP022711 | PA | Primary |
Addresses
Primary practice location
1197 Airport Rd Ste 5
Voorhees, NJ 08043-9603
Mailing address
1469 Makefield Rd
Yardley, PA 19067-5939
Other practice location 1
239 Hurffville Crosskeys Rd Ste 240
Sewell, NJ 08080-4006
Phone (856) 751-7880
Other practice location 2
1000 Atlantic Ave
Camden, NJ 08104-1132
Phone (856) 751-7880
Other practice location 3
280 Middletown Blvd
Langhorne, PA 19047-1816
Phone (856) 751-7880
Other practice location 4
160 E Erie Ave Ste 2205
Philadelphia, PA 19134-1011
Phone (856) 751-7880
Other practice location 5
1245 Highland Ave Ste 109
Abington, PA 19001-3722
Phone (856) 751-7880
Other practice location 6
500 York Rd
Jenkintown, PA 19046-2852
Phone (856) 751-7880
Other practice location 7
1521 8th Ave Ste 201
Bethlehem, PA 18018-1893
Phone (856) 751-7880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verree Pediatrics, LLC | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1467414102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1952906158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1469 MAKEFIELD RD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 AIRPORT RD STE 5",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439603",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133"
}
],
"practiceLocations": [
{
"address_1": "239 Hurffville Crosskeys Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080804006",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081041132",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 Middletown Blvd",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471816",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 E Erie Ave Ste 2205",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191341011",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1245 Highland Ave Ste 109",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013722",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 York Rd",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "190462852",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1521 8th Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180181893",
"country_code": "US",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGDASARIAN",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2021-01-04",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP022711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.