IndividualActive
Amy Dietz, PA-C
NPI 1952533481 · Medical Physician Assistant · Clark, NJ
Provider details
- NPI number
- 1952533481
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00220800 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
67 Walnut Ave
Clark, NJ 07066-1640
Phone: (908) 654-3377
Fax: (908) 654-4044
Approximate (ZIP-level) locationGet directions
Mailing address
12 Exeter Rd
Clark, NJ 07066-2506
Registry dates
- Enumerated
- 2009-08-17
- Last updated
- 2023-02-23
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.