Active NPIIndividual provider

Amanda M Andersen, DO

Obstetrics & Gynecology in Newark, New Jersey

NPI Number1467035766
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
September 19, 2025

Amanda Marie Andersen is an Obstetrics & Gynecology based in Newark, NJ. Amanda Marie Andersen practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Amanda Marie Andersen is 1467035766 and holds a License No. 25MB12641400 (NJ). The current practice location address for Amanda Marie Andersen is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 707-372-1289.

Provider Profile Details

NPI Number
1467035766
Provider Name
Amanda Marie Andersen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
707-372-1289
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2021
Last Update Date
September 19, 2025
Certification Date
September 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
707-372-1289
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
90 Bergen St
Newark, NJ 07103-2425
City
Newark
State
NJ
Zip
07103-2425
Phone Number
707-372-1289

License Information

License Number
25MB12641400
License State
NJ
Taxonomy
Obstetrics & Gynecology · 207V00000X · 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 M Andersen, DO?

The NPI number of Amanda M Andersen, DO is 1467035766. It was assigned on May 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Amanda M Andersen, DO?

Amanda M Andersen, DO is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number 25MB12641400.

Where does Amanda M Andersen, DO practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 707-372-1289 (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 1467035766 directly on the NPPES registry website.

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