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Amanda Lynn Goldstein, Physician Assistant

Physician Assistant in Pennington, NJ. Individual provider (NPI-1).

NPI number1740945401
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1740945401
Entity type
Individual (NPI-1)
Name
Amanda Lynn Goldstein
Credential
Physician Assistant
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 7, 2021
Certification date
May 4, 2022
Last updated
May 4, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · 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 codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant25MP00647800NJYes
363A00000X Physician AssistantMA062738PA

Practice location

1 Capital Way
Pennington, NJ 08534-2520

Phone 609-303-4000

Mailing address

1 Capital Way
Pennington, NJ 08534-2520

Phone 609-303-4000

Other practice locations

2301 S Broad St
Philadelphia, PA 19148-3594

Phone 215-952-9000

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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 Physician Assistant providers in Pennington, NJ

All 45 Physician Assistant providers in Pennington · All 918 providers in Pennington

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