Active NPIIndividual provider

Dr. Owen Amadasun, MD/MBA

Pediatrics in New York, New York

NPI Number1407385131
Practice location
550 1ST Ave, New York, NY 10016-6402
Fax
—
Last updated
August 12, 2020

Owen Amadasun is a Pediatrics based in New York, NY. Owen Amadasun practices in New York, NY and has the professional credentials of MD/MBA. The NPI Number for Owen Amadasun is 1407385131 and holds a License No. 306109 (NY). The current practice location address for Owen Amadasun is 550 1ST Ave, New York, NY 10016-6402 and can be reached out via phone at 212-263-5506.

Provider Profile Details

NPI Number
1407385131
Provider Name
Owen Amadasun
Credential
MD/MBA
Provider Entity Type
Individual
Gender
Male
Address
550 1ST Ave, New York, NY 10016-6402
Phone Number
212-263-5506
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2017
Last Update Date
August 12, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 1ST Ave
New York, NY 10016-6402
Zip
10016-6402
Phone Number
212-263-5506
New York, NY 10016Get directions →

Provider Business Mailing Address Details

Address
56 Cornell Cir
East Hartford, CT 06108-1422
City
East Hartford
State
CT
Zip
06108-1422
Phone Number
860-655-5494

License Information

License Number (2)
306109
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X · 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 Dr. Owen Amadasun, MD/MBA?

The NPI number of Dr. Owen Amadasun, MD/MBA is 1407385131. It was assigned on June 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Owen Amadasun, MD/MBA?

Dr. Owen Amadasun, MD/MBA is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 306109.

Where does Dr. Owen Amadasun, MD/MBA practice?

The practice location is 550 1ST Ave, New York, NY 10016-6402. The office can be reached at 212-263-5506 (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 1407385131 directly on the NPPES registry website.

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