MRS. AMANDA WHITE


Address: 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101
Phone: 8567573500

MRS. AMANDA WHITE (NPI# 1013064203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013064203
Entity Type Individual
Full Name MRS. AMANDA WHITE
Credential P.A.
Practice Address 1600 Haddon Ave Fl 6
Camden
NJ 08103-3101
Mailing Address 301 Lippincott Dr Ste 410
Marlton
NJ 08053-4197
Practice Telephone 8567573500
Practice Fax Number 8563654088
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Enumeration Date 2007-01-03
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
25MP00395700 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
010605 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NYS LICENSE NUMBER 10605 01
NY REGISTRATION CERTIFICATE 5347124 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
218 Sunset Rd, Willingboro, NJ 080461110 6098353672 6098355433
90 Brick Rd Fl 3, Marlton, NJ 080532177 8563556000 8563556731
100 Bowman Dr Lowr Level1, Voorhees, NJ 080439612 8562473000 8562472597
175 Madison Ave, Mount Holly, NJ 080602099 6099146000 6099146182

Other Providers AMANDA WHITE

NPI Name Taxonomy Address Enumeration
1053925966 Amanda White Technician 902 Route 49, Matewan, WV 25678-7837 2020-09-08
1447861422 Amanda Jane White Registered Nurse 359 Court St S, Lewisburg, WV 24901-2046 2020-08-12
1689290264 Amanda Michelle White Technician 938 Geary St Sw, Palm Bay, FL 32908-4206 2020-06-19
1497251953 Amanda White Social Worker 147 Links Dr Apt 44c, Canton, MS 39046-5256 2018-04-03
1710498225 Amanda Emeline White Counselor 232 S 4th St Ste 3m, Philadelphia, PA 19106-3704 2017-10-24
1457713083 Amanda White Chore Provider 7511 Ley Rd, Houston, TX 77028-2435 2016-03-23
1295154532 Amanda White Registered Nurse 2070 Northbrook Blvd Ste A20, North Charleston, SC 29406-9324 2014-04-15
1205171170 Amanda Jo White Social Worker 207 Vivian St, Hancock, MI 49930-2132 2012-12-04
1134481377 Amanda Evelyn White Family Medicine 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031 2012-06-13
1740586809 Amanda Michelle White Developmental Therapist 5647 Wittmer Meadows Drive, Milford, OH 45150-8802 2011-02-07

Office Location

Street Address 1600 HADDON AVE FL 6
City CAMDEN
State NJ
Zip Code 08103-3101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730560988 John Galezniak Family Medicine 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 2015-06-13
1033353990 Michael Isaac Hackman Internal Medicine 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 2009-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912516063 Toni Marie Primas Registered Nurse Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 2020-07-24
1376028548 Services To Overcome Drug Abuse Among Teenagers, Inc. Clinic/Center 805-815 Federal Street, Camden, NJ 08103 2018-10-03
1942795802 Kyle Richard Marden Student in an Organized Health Care Education/Training Program 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 2018-06-24
1588157473 Julio Antonio Rodriguez Jr. Student in an Organized Health Care Education/Training Program Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 2018-06-14
1386149748 Shuchi Gupta Nurse Practitioner 519 West Street, Camden, NJ 08103 2018-03-28
1326541491 Bolanle Idowu-akangbe Nurse Practitioner 519-525 West Street, Camden, NJ 08103 2018-03-14
1740709500 New Beginnings Behavioral Health Clinic/Center 1300 Princess Avenue, Camden, NJ 08103 2017-09-13
1760905012 Loraine Morris Counselor 1479 Kaighn Ave, Camden, NJ 08103 2017-07-19
1386164333 Matthew Share Genetic Counselor, MS Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 2017-06-21
1568902070 Cooper University Hospital General Acute Care Hospital 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 2017-03-02
Find all providers in zip 08103

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144525395 Mickie Carter Physician Assistant 284 Hwy 641 N, Camden, TN 38320 2011-01-19
1164535803 Stephanie Baxley Batten Physician Assistant 166 Court Inn Ln, Camden, SC 29020-2900 2006-08-16
1386281079 Megan Demarco Physician Assistant 1 Cooper Plz, Camden, NJ 08103-1461 2019-12-02
1932742764 Rachel Marie Wiegand Physician Assistant 1 Cooper Plz, Camden, NJ 08103-1461 2019-10-24
1255892899 Galia Wilk Physician Assistant 1865 Harrison Ave Ste 1300, Camden, NJ 08105-3602 2019-03-27
1649769878 Andrew C Harrison Physician Assistant 1 Cooper Plz, Camden, NJ 08103 2018-05-03
1740679588 Melissa Anne Pryzbylkowski Physician Assistant 1 Cooper Plz, Camden, NJ 08103-1461 2015-01-16
1053733394 Mykenzi Gibbs Physician Assistant 1045 W Dekalb St, Camden, SC 29020-4162 2014-01-06
1083044051 John A Tenuto Physician Assistant 1 Cooper Plz, Camden, NJ 08103-1461 2013-11-12
1285972042 Jessica Lyn Bryson Physician Assistant 3 Cooper Plz Rm 220, Camden, NJ 08103 2013-01-29
Find all providers in CAMDEN

Competitor

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City CAMDEN
Zip Code 08103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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