Active NPIIndividual provider

Amanda A Srinivasan, PA-C

Internal Medicine, Nephrology in Northfield, New Jersey

NPI Number1073194171
Practice location
510 Jackson Ave, Northfield, NJ 08225-1631
Fax
609-383-8352
Last updated
May 5, 2021

Amanda Ann Srinivasan is an Internal Medicine, Nephrology based in Northfield, NJ. Amanda Ann Srinivasan practices in Northfield, NJ and has the professional credentials of PA-C. The NPI Number for Amanda Ann Srinivasan is 1073194171 and holds a License No. 25MP00615000 (NJ). The current practice location address for Amanda Ann Srinivasan is 510 Jackson Ave, Northfield, NJ 08225-1631 and can be reached out via phone at 609-383-0200 and via fax at 609-383-8352.

Provider Profile Details

NPI Number
1073194171
Provider Name
Amanda Ann Srinivasan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
510 Jackson Ave, Northfield, NJ 08225-1631
Phone Number
609-383-0200
Fax Number
609-383-8352
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2021
Last Update Date
May 5, 2021
Certification Date
May 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
510 Jackson Ave
Northfield, NJ 08225-1631
Zip
08225-1631
Phone Number
609-383-0200
Fax Number
609-383-8352
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
104 24TH St S
Brigantine, NJ 08203-1834
City
Brigantine
State
NJ
Zip
08203-1834
Phone Number
570-401-8016

License Information

License Number
25MP00615000
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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 Amanda A Srinivasan, PA-C?

The NPI number of Amanda A Srinivasan, PA-C is 1073194171. It was assigned on April 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Amanda A Srinivasan, PA-C?

Amanda A Srinivasan, PA-C is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25MP00615000.

Where does Amanda A Srinivasan, PA-C practice?

The practice location is 510 Jackson Ave, Northfield, NJ 08225-1631. The office can be reached at 609-383-0200 (phone) or 609-383-8352 (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 1073194171 directly on the NPPES registry website.

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