AMANDA MAUREEN JORDAN PHYSICIAN ASSISTANT NPI 1861236036

NPI Information

  • NPI: 1861236036
  • Provider Name: AMANDA MAUREEN JORDAN, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 621 10TH ST
    NIAGARA FALLS, NY
    ZIP 14301
  • Phone: (716) 517-5436

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NPI Details

Amanda Maureen Jordan, PHYSICIAN ASSISTANT is a surgical physician assistant in Niagara Falls, NY with 3 years of experience. Amanda Maureen Jordan, PHYSICIAN ASSISTANT NPI is 1861236036. 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:

621 10TH ST
NIAGARA FALLS, NY
ZIP 14301-813
Phone: (716) 517-5436

The NPI 1861236036 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 6/22/2024 and was last updated on 6/22/2024.

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
1363AS0400XPhysician AssistantSurgical031114NEW YORKYes

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: 11/21/2025

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