Individual provider · Type 1 NPI
Amanda Mavraj
Adult Medicine Physician · Newark, NJ
NPI number
1306718929
Active
Practice location
65 Bergen St
Newark, NJ 07107-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 26NR20708000 (NJ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1306718929
Amanda Mavraj's National Provider Identifier is 1306718929, issued on Sep 22, 2025. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Newark, NJ. The record was last updated on Oct 24, 2025.