DR. AMANDA EIS M.D.
NPI 1104061753
Emergency Medicine in Hackensack, NJ
About Dr. Amanda Eis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA EIS M.D. (NPI 1104061753) is an individual emergency medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA08917400) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Newark.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Amanda Eis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Eis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Eis's NPI number?
The NPI number for Amanda Eis is 1104061753. It was assigned to this individual provider in the NPPES registry on December 11, 2008.
Where is Amanda Eis located?
Amanda Eis practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-3192.
What is Amanda Eis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amanda Eis enrolled in Medicare?
Yes. Amanda Eis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amanda Eis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Eis reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Eis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Eis affiliated with any hospitals?
According to CMS data, Amanda Eis is affiliated with Hackensack University Medical Center.
When was this NPI record last updated?
The NPPES record for Amanda Eis was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Amanda Eis, M.D. · NPI 1104061753
Emergency Medicine physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since December 11, 2008.
## Identity
- **NPI:** 1104061753 (Entity type: Individual)
- **Enumerated:** December 11, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MA08917400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-3192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104061753) · Data from the CMS NPPES public registry.