MISS AMY LEE FARSIDE APN
NPI 1891179156
Nurse Practitioner - Family in Galloway, NJ
About Miss Amy Lee Farside Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS AMY LEE FARSIDE APN (NPI 1891179156) is an individual family provider in Galloway, New Jersey, licensed in New Jersey (26NJ00433500) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Amy Lee Farside Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Farside reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Galloway, NJ 08205
- Reassigned Medicare billing, New Jersey enrollment
- 921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amy Farside's NPI number?
The NPI number for Amy Farside is 1891179156. It was assigned to this individual provider in the NPPES registry on July 16, 2015.
Where is Amy Farside located?
Amy Farside practices at 310 Chris Gaupp Dr Ste 102, Galloway, NJ 08205. The listed phone number is (609) 652-9933.
What is Amy Farside's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Farside enrolled in Medicare?
Yes. Amy Farside is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Farside's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Farside reassigns Medicare benefits to Atlanticare Physician Group, PA (Galloway, NJ). The 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 Amy Farside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Farside was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Miss Amy Lee Farside, APN · NPI 1891179156
Family physician in Galloway, New Jersey. Individual provider, active in the CMS NPPES registry since July 16, 2015.
## Identity
- **NPI:** 1891179156 (Entity type: Individual)
- **Enumerated:** July 16, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00433500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 310 CHRIS GAUPP DR STE 102, Galloway, NJ 08205-4461
- **Phone:** (609) 652-9933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Atlanticare Physician Group, PA (NPI 1003820622, Galloway, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1891179156) · Data from the CMS NPPES public registry.