AMANDA MEDVEDOVSKY FNP-C
NPI 1730555145
Nurse Practitioner - Family in Staten Island, NY

Q: What is Amanda Medvedovsky's NPI number?

The NPI number for Amanda Medvedovsky is 1730555145. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Amanda Medvedovsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 19, 2015

647 LAMOKA AVE, STATEN ISLAND, NY 10312(718) 494-1715 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Medvedovsky Fnp-c NPPES

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

AMANDA MEDVEDOVSKY FNP-C (NPI 1730555145) is an individual family provider in Staten Island, New York, licensed in New York (33338583) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1730555145

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA MEDVEDOVSKYCredential: FNP-C

Location Address647 LAMOKA AVEStaten Island, NY 10312-3435

Mailing Address647 Lamoka AveStaten Island, NY 10312-3435 · (718) 494-1715

Phone(718) 494-1715

Sole ProprietorYes

Enumeration DateAugust 19, 2015

✔ NPI 1730555145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 33338583

647 LAMOKA AVE, Staten Island, NY 10312

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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 Medvedovsky's NPI number?

The NPI number for Amanda Medvedovsky is 1730555145. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Amanda Medvedovsky located?

Amanda Medvedovsky practices at 647 Lamoka Ave, Staten Island, NY 10312. The listed phone number is (718) 494-1715.

What is Amanda Medvedovsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Medvedovsky was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.