Active NPIIndividual provider

Amanda R Knoll, PA

Physician Assistant in Staten Island, New York

NPI Number1588420343
Practice location
57 Bay St, Staten Island, NY 10301-2510
Fax
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Last updated
May 8, 2024

Amanda Reed Knoll is a Physician Assistant based in Staten Island, NY. Amanda Reed Knoll practices in Staten Island, NY and has the professional credentials of PA. The NPI Number for Amanda Reed Knoll is 1588420343 and holds a License No. 25MP00827500 (NJ). The current practice location address for Amanda Reed Knoll is 57 Bay St, Staten Island, NY 10301-2510 and can be reached out via phone at 855-681-8700.

Provider Profile Details

NPI Number
1588420343
Provider Name
Amanda Reed Knoll
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
57 Bay St, Staten Island, NY 10301-2510
Phone Number
855-681-8700
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2024
Last Update Date
May 8, 2024
Certification Date
May 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Bay St
Staten Island, NY 10301-2510
Zip
10301-2510
Phone Number
855-681-8700
Staten Island, NY 10301Get directions →

Provider Business Mailing Address Details

Address
8 Pearl St
Summit, NJ 07901-3801
City
Summit
State
NJ
Zip
07901-3801
Phone Number
908-246-1169

License Information

License Number (1)
25MP00827500
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
03124001
License State (2)
NY
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 Amanda R Knoll, PA?

The NPI number of Amanda R Knoll, PA is 1588420343. It was assigned on February 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Amanda R Knoll, PA?

Amanda R Knoll, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00827500.

Where does Amanda R Knoll, PA practice?

The practice location is 57 Bay St, Staten Island, NY 10301-2510. The office can be reached at 855-681-8700 (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 1588420343 directly on the NPPES registry website.

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