Active NPIIndividual provider

Mrs. Amanda White, PA

Physician Assistant, Medical in Camden, New Jersey

NPI Number1013064203
Practice location
1600 Haddon Ave Fl 6, Camden, NJ 08103-3101
Fax
856-365-4088
Last updated
December 15, 2020

Amanda White is a Physician Assistant, Medical based in Camden, NJ. Amanda White practices in Camden, NJ and has the professional credentials of PA. The NPI Number for Amanda White is 1013064203 and holds a License No. 010605 (NY). The current practice location address for Amanda White is 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 and can be reached out via phone at 856-757-3500 and via fax at 856-365-4088.

Provider Profile Details

NPI Number
1013064203
Provider Name
Amanda White
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1600 Haddon Ave Fl 6, Camden, NJ 08103-3101
Phone Number
856-757-3500
Fax Number
856-365-4088
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
December 15, 2020
Certification Date
December 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
City
Camden
Zip
08103-3101
Phone Number
856-757-3500
Fax Number
856-365-4088
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number (1)
010605
License State (1)
NY
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00395700
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Amanda White, PA?

The NPI number of Mrs. Amanda White, PA is 1013064203. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amanda White, PA?

Mrs. Amanda White, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 010605.

Where does Mrs. Amanda White, PA practice?

The practice location is 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101. The office can be reached at 856-757-3500 (phone) or 856-365-4088 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013064203 directly on the NPPES registry website.

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