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

Amanda Taylor

Individual provider Physician Assistant · NPI 1487381117

Amanda Taylor is a Physician Assistant in New Haven, Connecticut. Qualified in 2022, 4 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 5747 (CT)

Record details

NPI number1487381117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address63 E Shore Dr, Niantic, CT 06357-3833

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Haven