Amanda Marie Meyerricks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

027286 Issued in NY

Practice address

650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366

Phone

(631) 737-0055

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Todd J Maltese DO PCGroup PAC ID 0941512750, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Todd J. Maltese, D.O., P.C.

  • Neurology Physician
  • Ronkonkoma, NY
  • NPI 1902290869
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1982356911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEECH RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788915",
            "telephone_number": "631-664-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAWKINS AVE STE 7",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792366",
            "telephone_number": "631-737-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERRICKS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter L Mermelstein, NP
• Lisa Ann Messina, MS CCC-SLP
• Metro Chiropractic Care, PC
• Denise Mevs
• Ruth M Meyer, LCSW-R, CASAC
• Mi Medical PLLC
• Kaitlyn Helen Michaud, MS CCC SLP
• Elizabeth Skaf Michelizzi, DMD
• Mid Island Internal Medicine, PLLC
• Mid-Suffolk Medical Services PLLC

• Physician Assistant in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
• 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.