MS. AMANDA MARIE FORMATO PA-C, ATC
NPI 1356814842
Physician Assistant - Surgical in Bethpage, NY
About Ms. Amanda Marie Formato Pa-c, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AMANDA MARIE FORMATO PA-C, ATC (NPI 1356814842) is an individual surgical provider in Bethpage, New York, licensed in California (PA56656) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Chsli St Joseph Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Amanda Marie Formato Pa-c, Atc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chsli St Joseph Hospital
Acute Care Hospitals · Bethpage, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHPAGE, NY 11714
BETHPAGE, NY 11714
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 Formato's NPI number?
The NPI number for Amanda Formato is 1356814842. It was assigned to this individual provider in the NPPES registry on January 7, 2019.
Where is Amanda Formato located?
Amanda Formato practices at 4295 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (516) 579-6000.
What is Amanda Formato's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Amanda Formato enrolled in Medicare?
Yes. Amanda Formato 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.
Is Amanda Formato affiliated with any hospitals?
According to CMS data, Amanda Formato is affiliated with Chsli St Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Formato was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Ms. Amanda Marie Formato, PA-C, ATC · NPI 1356814842
Surgical physician in Bethpage, New York. Individual provider, active in the CMS NPPES registry since January 7, 2019.
## Identity
- **NPI:** 1356814842 (Entity type: Individual)
- **Enumerated:** January 7, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA56656 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4295 HEMPSTEAD TPKE, Bethpage, NY 11714-5713
- **Phone:** (516) 579-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356814842) · Data from the CMS NPPES public registry.