Individual provider Active NPI

Amanda Cecilia Ayala, MD

  • Pediatric Rehabilitation Medicine Physician
  • Morristown, NJ
National Provider Identifier
1982839106
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
25MA09985400 Issued in NJ
Practice address
131 Madison Ave Ste 3
Morristown, NJ 07960-7360
Phone
(973) 326-9000
Fax
(973) 326-9001
NPI assigned
May 18, 2009
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD44453 PA
Physical Medicine & Rehabilitation Physician 208100000X 266632-1 NY
Pediatric Rehabilitation Medicine Physician 2081P0010X 4301104184 MI
Pediatric Rehabilitation Medicine Physician 2081P0010X 25MA09985400 NJ Primary

Addresses

Primary practice location

131 Madison Ave Ste 3
Morristown, NJ 07960-7360

Mailing address

131 Madison Ave Ste 3
Morristown, NJ 07960-7360
Phone (973) 326-9000

Other practice location 1

317 North St
White Plains, NY 10605-2209
Phone (914) 597-4106

Other practice location 2

385 Prospect Ave Ste 208
Hackensack, NJ 07601-2570
Phone (973) 326-9000

Other identifiers 1

IdentifierTypeStateIssuer
544833MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130104000095 NY Practitioner - Physical Medicine and Rehabilitation 7214180066 Reassigns benefits to 2 organizations
I20170221000704 NJ Practitioner - Physical Medicine and Rehabilitation 7214180066

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children's Rehabilitation Center, Inc.Group PAC ID 3274714753, 4 clinicians

Practice addresses (Care Compare)

317 N St
White Plains, NY 10605-2209
Phone (914) 294-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
266632-1NYMDPhysical Medicine & Rehabilitation Physician
MD44453PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University Department of Rehabilitation Medicine CurrentSince Oct 1, 2012 Accepting new patients
Children's Rehabilitation Center, Inc. CurrentSince Dec 5, 2019 Accepting new patients
Boston Children's Health Physicians, LLP CurrentSince Apr 2, 2020 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Apr 2, 2020 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

19 Bradhurst Ave
Ste 2400
Hawthorne, NY 10532
Phone (914) 593-8850

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

180 Fort Washington Ave
#199
New York, NY 10032
Phone (212) 305-3535

503 Grasslands Rd
Ste 200
Valhalla, NY 10595
Phone (914) 304-5250

317 North St
White Plains, NY 10605
Phone (914) 294-6196

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1982839106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE STE 3",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE STE 3",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 North St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106052209",
            "country_code": "US",
            "telephone_number": "914-597-4106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Prospect Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076012570",
            "country_code": "US",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "AMANDA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD44453",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "266632-1",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "MI",
            "license": "4301104184",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NJ",
            "license": "25MA09985400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544833",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.