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

Amanda Marie Wiermann, PA

Individual provider Medical Physician Assistant · NPI 1023378874

Amanda Marie Wiermann, PA is a Medical Physician Assistant in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
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.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 263
Port Jefferson Station, NY 11776-0263
Phone: (631) 828-5419
Fax: (631) 403-1298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006495 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 006495 (NY)

Record details

NPI number1023378874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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