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

Individual provider Physician Assistant · NPI 1982356911

Amanda Marie Meyerricks, PA-C is a Physician Assistant in Ronkonkoma, New York. Qualified in 2021, 5 years ago. Practices with Todd J Maltese DO PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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

650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366
Phone: (631) 737-0055
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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 027286 (NY)

Record details

NPI number1982356911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2022
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Todd J Maltese Do Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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