NATASHA DEMI AMARO PA-C
NPI 1669030474
Physician Assistant - Surgical in Hackensack, NJ

Q: What is Natasha Amaro's NPI number?

The NPI number for Natasha Amaro is 1669030474. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Natasha Amaro's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Natasha Amaro was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 05, 2019PECOS Enrolled

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-1333(551) 996-0949 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 3, 2025, Jun 5, 2019 (2 updates tracked since 2019).

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About Natasha Demi Amaro Pa-c NPPES

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

NATASHA DEMI AMARO PA-C (NPI 1669030474) is an individual surgical provider in Hackensack, New Jersey, licensed in New Jersey (25MP00977700) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669030474

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNATASHA DEMI AMAROCredential: PA-C

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address105 Lexington CirMatawan, NJ 07747-3777 · (732) 570-3515

Phone(551) 996-1333

Fax(551) 996-0949

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 5, 2019

Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1669030474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NJ · 25MP00977700

Also ListedPhysician AssistantTaxonomy 363A00000X

30 PROSPECT AVE, Hackensack, NJ 07601

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4896

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha Demi Amaro Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335479880

PECOS Enrollment IDI20251211003430

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)