NPIMap

Individual provider Active NPI

Amanda Paige Antonini, PA-C

  • Surgical Physician Assistant
  • Exton, PA
National Provider Identifier
1982061099
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA058075 Issued in PA
Practice address
479 Thomas Jones Way Ste 300
Exton, PA 19341-2552
Phone
(610) 280-9999
NPI assigned
Jan 20, 2016
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA058075 PA Primary

Addresses

Primary practice location

479 Thomas Jones Way Ste 300
Exton, PA 19341-2552

Mailing address

1168 Renwick Dr
West Chester, PA 19382-8136
Phone (215) 313-4348

Other practice location 1

1168 Renwick Dr
West Chester, PA 19382-8136
Phone (215) 313-4348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219000879 PA Practitioner - Physician Assistant 2668777293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

105 Vineyard Way
101 Penn Orthopaedics Southern Chester Coun
West Grove, PA 19390-8849
Phone (610) 869-4830

3400 Spruce St
Philadelphia, PA 19104-4206

3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079

701 E Marshall St
West Chester, PA 19380-4412

701 E Marshall Street 2ND Floor
Cardiac Surgery Chester County
West Chester, PA 19380-4412
Phone (610) 738-2690

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Dec 17, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Dec 17, 2017 Accepting new patients

Locations

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1982061099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 RENWICK DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828136",
            "telephone_number": "215-313-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 THOMAS JONES WAY STE 300",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412552",
            "telephone_number": "610-280-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 Renwick Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193828136",
            "country_code": "US",
            "telephone_number": "215-313-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONINI",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA058075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.