NPI 1669030474 · live from the CMS NPI Registry
Natasha Demi Amaro, PA-C
Physician Assistant, Surgical in Hackensack, NJ. National Provider Identifier 1669030474, active.
NPI record
| NPI | 1669030474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 30 Prospect Ave, Hackensack, NJ 07601 |
| Practice phone | 551-996-1333 |
| Mailing address | 105 Lexington Cir, Matawan, NJ 07747 |
| Enumerated | June 5, 2019 |
| Last updated | December 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — (NY) |
| Physician Assistant, Surgical primary | 363AS0400X | 25MP00977700 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.