Active NPIIndividual provider

Dr. Amanda Ammentorp, DO

Emergency Medicine in Mc Guire Afb, New Jersey

NPI Number1952868606
Practice location
3458 Neely RD, Mc Guire Afb, NJ 08641-5312
Fax
—
Last updated
June 30, 2026

Amanda Ammentorp is an Emergency Medicine based in Mc Guire Afb, NJ. Amanda Ammentorp practices in Mc Guire Afb, NJ and has the professional credentials of DO. The NPI Number for Amanda Ammentorp is 1952868606 and holds a License No. 68149 (MN). The current practice location address for Amanda Ammentorp is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312 and can be reached out via phone at 866-377-2778.

Provider Profile Details

NPI Number
1952868606
Provider Name
Amanda Ammentorp
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3458 Neely RD, Mc Guire Afb, NJ 08641-5312
Phone Number
866-377-2778
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
February 28, 2019
Last Update Date
June 30, 2026
Certification Date
June 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3458 Neely RD
Mc Guire Afb, NJ 08641-5312
Zip
08641-5312
Phone Number
866-377-2778
Mc Guire Afb, NJ 08641Get directions →

Provider Business Mailing Address Details

Address
3458 Neely RD
Mc Guire Afb, NJ 08641-5312
City
Mc Guire Afb
State
NJ
Zip
08641-5312

License Information

License Number (1)
68149
License State (1)
MN
Taxonomy (1)
Preventive Medicine, Aerospace Medicine · 2083A0100X
License Number (3)
OT022056
License State (3)
PA
Taxonomy (3)
Emergency Medicine · 207P00000X · 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. Amanda Ammentorp, DO?

The NPI number of Dr. Amanda Ammentorp, DO is 1952868606. It was assigned on February 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda Ammentorp, DO?

Dr. Amanda Ammentorp, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MN under license number 68149.

Where does Dr. Amanda Ammentorp, DO practice?

The practice location is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312. The office can be reached at 866-377-2778 (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 1952868606 directly on the NPPES registry website.

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