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

Amanda Pidgeon, RPAC

Individual provider Surgical Physician Assistant · NPI 1437191715

Amanda Pidgeon, RPAC is a Physician Assistant in Stony Brook, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2004, 22 years ago. Practices with New York Spine and Brain Surgery, University Faculty Practice Corporat, a 59-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook University Medical Ctr Hsc Level 12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-1116
Fax: (631) 444-1535
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010224 (NY)

Record details

NPI number1437191715
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressStony Brook University Medical Ctr, Hsc Level 12, Rm 080, Stony Brook, NY 11794-8122

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice New York Spine And Brain Surgery, University Faculty Practice Corporat — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook