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AMANDA MICHELLE BLAZKIEWICZ
NPI 1366964447
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 11, 2017
1200 W TABOR RD, PHILADELPHIA, PA 19141(215) 456-9850 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Mar 6, 2026, Jul 13, 2022 and 1 more (4 updates tracked since 2017).

About Amanda Michelle Blazkiewicz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MICHELLE BLAZKIEWICZ (NPI 1366964447) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2017. She maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1366964447
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA MICHELLE BLAZKIEWICZ
Location Address1200 W TABOR RDPhiladelphia, PA 19141-3019
Mailing Address154 Tabb AvePiscataway, NJ 08854-2570
Phone(215) 456-9850
Sole ProprietorNo
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 13, 20224 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1366964447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1200 W TABOR RD, Philadelphia, PA 19141
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Secondary Practice Location 1

Location 110 Parsonage Rd Ste 318Edison, NJ 08837-2429 · Phone (732) 204-1635 · Fax (732) 204-1636

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.

TIMOTHY WILKINSON CRNP
Nurse Practitioner (Family)
1200 W TABOR RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-4600
EDITH D HASBROUCK MD
Internal Medicine (Geriatric Medicine)
1200 W TABOR RD, SUITE 141
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-9142
DR. MARYSSA LYONS MD
Psychiatry & Neurology (Psychiatry)
1200 W TABOR RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-9850
EINSTEIN PRACTICE PLAN, INC.
Anesthesiology (Pain Medicine)
1200 W TABOR RD, MOSS REHAB BUILDING, 4TH FLOOR
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3815
JACARA REID
Student in an Organized Health Care Education/Training Program
1200 W TABOR RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-9850
DR. MADELINE CAROL DIPASQUALE PHD
Clinical Neuropsychologist
1200 W TABOR RD, MOSSREHAB HOSPITAL-DRUCKER BRAIN INJURY CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-9544
ERIC CARUSO PA-C
Physician Assistant (Medical)
1200 W TABOR RD, MOSS BUILDING, 3RD FLOOR
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3930
GILLIAN MICHELLE NORAH MURRAY LSW, MSW
Social Worker
1200 W TABOR RD, 4TH FLOOR
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-9901

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 Blazkiewicz's NPI number?

The NPI number for Amanda Blazkiewicz is 1366964447. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Amanda Blazkiewicz located?

Amanda Blazkiewicz practices at 1200 W Tabor Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-9850.

What is Amanda Blazkiewicz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Blazkiewicz was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.