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

Individual provider Physician Assistant · NPI 1245828599

Amanda Nicole Carroll, PA-C is a Physician Assistant in New York, New York. Qualified in 2020, 6 years ago. Practices with New York Society for the Relief of Ruptured and Crippled Maintaining, a 115-clinician group, works from 2 locations and accepts Medicare assignment. 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

535 E 70th St
New York, NY 10021-4898
Phone: (212) 606-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Chesterfield Dr, Warren, NJ 07059-6774 — (908) 655-8406

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1176603 (NJ)

Record details

NPI number1245828599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESSeptember 11, 2023
Certification dateAugust 17, 2023

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 New York Society For The Relief Of Ruptured And Crippled Maintaining — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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