Amanda Rose Didonato, PA-C
Physician Assistant, Medical in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1124848635
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1124848635
- Entity type
- Individual (NPI-1)
- Name
- Amanda Rose Didonato
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
3505 Veterans Memorial HwyRonkonkoma, NY 11779-7640
Phone 631-676-7656
Mailing address
3505 Veterans Memorial HwyRonkonkoma, NY 11779-7640
Phone 631-676-7656
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Ronkonkoma, NY
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- Lauren A Lopera, PANPI 1184874687
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All 6 Medical Physician Assistant providers in Ronkonkoma · All 866 providers in Ronkonkoma
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