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

Amanda Klics, PA

Individual provider Physician Assistant · NPI 1760907125

Amanda Klics, PA is a Physician Assistant in Smithtown, New York. Qualified in 2017, 9 years ago. Practices with Timothy D. Groth MD PC, a 44-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone: (631) 543-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021145 (NY)

Record details

NPI number1760907125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address994 W Jericho Tpke Ste 104, Smithtown, NY 11787-3211

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Timothy D. Groth Md Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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