IndividualActive
Amanda Mavraj
NPI 1306718929 · Adult Medicine Physician · Newark, NJ
Provider details
- NPI number
- 1306718929
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 26NR20708000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
65 Bergen St
Newark, NJ 07107-3001
Phone: (973) 972-4307
Approximate (ZIP-level) locationGet directions
Mailing address
65 Bergen St
Newark, NJ 07107-3001
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-10-24
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.