ROSE MAYARD AMAZAN NPI 1023562568

NPI Information

  • NPI: 1023562568
  • Provider Name: ROSE MAYARD AMAZAN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4539 ROUTE 9 N
    HOWELL, NJ
    ZIP 07731
  • Phone: (732) 987-8800

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NPI Details

Rose Mayard Amazan is a psychiatric/mental health nurse practitioner in Howell, NJ with 9 years of experience. Rose Mayard Amazan NPI is 1023562568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4539 ROUTE 9 N
HOWELL, NJ
ZIP 07731-380
Phone: (732) 987-8800

The NPI 1023562568 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2016 and was last updated on 2/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN583583PENNSYLVANIANo
2363LF0000XNurse PractitionerFamilyF1216021PENNSYLVANIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health27NJ00716300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023562568MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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