Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Ann Srinivasan, PA-C

Individual provider Nephrology Physician · NPI 1073194171

Amanda Ann Srinivasan, PA-C is a Physician Assistant in Northfield, New Jersey. Qualified in 2020, 6 years ago. Practices with Northeast Kidney Care LLC, a 66-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

510 Jackson Ave
Northfield, NJ 08225-1631
Phone: (609) 383-0200
Fax: (609) 383-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 24th St S, Brigantine, NJ 08203-1834 — (570) 401-8016

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MP00615000 (NJ)

Record details

NPI number1073194171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northeast Kidney Care Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Northfield