Active NPIIndividual provider

Ms. Amanda M Ahearn, PA-C

Physician Assistant in Springfield, New Jersey

NPI Number1154993210
Practice location
193 Mountain Ave, Springfield, NJ 07081-1755
Fax
—
Last updated
July 21, 2025

Amanda Marie Ahearn is a Physician Assistant based in Springfield, NJ. Amanda Marie Ahearn practices in Springfield, NJ and has the professional credentials of PA-C. The NPI Number for Amanda Marie Ahearn is 1154993210 and holds a License No. 25MP00630400 (NJ). The current practice location address for Amanda Marie Ahearn is 193 Mountain Ave, Springfield, NJ 07081-1755 and can be reached out via phone at 973-218-1579.

Provider Profile Details

NPI Number
1154993210
Provider Name
Amanda Marie Ahearn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
193 Mountain Ave, Springfield, NJ 07081-1755
Phone Number
973-218-1579
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2021
Last Update Date
July 21, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Mountain Ave
Springfield, NJ 07081-1755
Zip
07081-1755
Phone Number
973-218-1579
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
193 Mountain Ave
Springfield, NJ 07081-1755
City
Springfield
State
NJ
Zip
07081-1755
Phone Number
973-218-1579

License Information

License Number (1)
25MP00630400
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Ms. Amanda M Ahearn, PA-C?

The NPI number of Ms. Amanda M Ahearn, PA-C is 1154993210. It was assigned on July 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Amanda M Ahearn, PA-C?

Ms. Amanda M Ahearn, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00630400.

Where does Ms. Amanda M Ahearn, PA-C practice?

The practice location is 193 Mountain Ave, Springfield, NJ 07081-1755. The office can be reached at 973-218-1579 (phone).

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 1154993210 directly on the NPPES registry website.

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