Erica Amianda, PA
Physician Assistant in Hackensack, New Jersey
1689974289- Practice location
- 20 Prospect Ave, Suite 703, Hackensack, NJ 07601-1997
- Phone
- 551-996-4424
- Fax
- —
- Last updated
- December 2, 2016
Erica Amianda is a Physician Assistant based in Hackensack, NJ. Erica Amianda practices in Hackensack, NJ and has the professional credentials of PA. The NPI Number for Erica Amianda is 1689974289 and holds a License No. 014376 (NY). The current practice location address for Erica Amianda is 20 Prospect Ave, Suite 703, Hackensack, NJ 07601-1997 and can be reached out via phone at 551-996-4424.
Provider Profile Details
- NPI Number
- 1689974289
- Provider Name
- Erica Amianda
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Prospect Ave, Suite 703, Hackensack, NJ 07601-1997
- Phone Number
- 551-996-4424
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2010
- Last Update Date
- December 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Prospect Ave
Suite 703
Hackensack, NJ 07601-1997 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1997
- Phone Number
- 551-996-4424
Provider Business Mailing Address Details
- Address
- Po Box 1517
Montclair, NJ 07042-1517 - City
- Montclair
- State
- NJ
- Zip
- 07042-1517
- Phone Number
- 551-996-4424
License Information
- License Number (1)
- 014376
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00283800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Erica Amianda, PA?
The NPI number of Erica Amianda, PA is 1689974289. It was assigned on October 28, 2010 and is currently active in the NPPES registry.
What is the specialty of Erica Amianda, PA?
Erica Amianda, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 014376.
Where does Erica Amianda, PA practice?
The practice location is 20 Prospect Ave, Suite 703, Hackensack, NJ 07601-1997. The office can be reached at 551-996-4424 (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 1689974289 directly on the NPPES registry website.