Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Defeo, PA

Individual provider Physician Assistant · NPI 1114274917

Amanda Defeo, PA is a Physician Assistant in Paramus, New Jersey. Qualified in 2012, 14 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone: (201) 639-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 266 Harristown Rd Ste 100, Glen Rock, NJ 07452-3302 — (201) 493-8990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00293900 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114274917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2012
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5688

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Paramus