Active NPIIndividual providerSole proprietor

Dr. Jonathan Amatruda, MD

Internal Medicine, Nephrology in Portland, Maine

NPI Number1912387713
Practice location
1600 Congress St Ste B, Portland, ME 04102-2148
Fax
—
Last updated
July 9, 2024

Jonathan Amatruda is an Internal Medicine, Nephrology based in Portland, ME. Jonathan Amatruda practices in Portland, ME and has the professional credentials of MD. The NPI Number for Jonathan Amatruda is 1912387713 and holds a License No. A155033 (CA). The current practice location address for Jonathan Amatruda is 1600 Congress St Ste B, Portland, ME 04102-2148 and can be reached out via phone at 207-774-5222.

Provider Profile Details

NPI Number
1912387713
Provider Name
Jonathan Amatruda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Congress St Ste B, Portland, ME 04102-2148
Phone Number
207-774-5222
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
Yes
Provider Enumeration Date
June 5, 2015
Last Update Date
July 9, 2024
Certification Date
July 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1600 Congress St Ste B
Portland, ME 04102-2148
State
Maine
Zip
04102-2148
Phone Number
207-774-5222
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
1600 Congress St Ste B
Portland, ME 04102-2148
City
Portland
State
ME
Zip
04102-2148
Phone Number
207-774-5222

License Information

License Number (1)
A155033
License State (1)
CA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
A155033
License State (2)
CA
Taxonomy (2)
Internal Medicine, Nephrology · 207RN0300X
License Number (3)
MD28202
License State (3)
ME
Taxonomy (3)
Internal Medicine, Nephrology · 207RN0300X · 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. Jonathan Amatruda, MD?

The NPI number of Dr. Jonathan Amatruda, MD is 1912387713. It was assigned on June 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan Amatruda, MD?

Dr. Jonathan Amatruda, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in CA under license number A155033.

Where does Dr. Jonathan Amatruda, MD practice?

The practice location is 1600 Congress St Ste B, Portland, ME 04102-2148. The office can be reached at 207-774-5222 (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 1912387713 directly on the NPPES registry website.

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