Andrea Dean, PA-C
Individual provider Active NPI Medical Physician Assistant · Lyons, NJ
NPI 1023028644 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023028644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 25MP00057000 (NJ)
- Practice address
- 151 Knollcroft Road
Lyons, NJ 07939 - Phone
- (908) 647-0180
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00057000 | NJ | Yes |
Addresses
Primary practice location
151 Knollcroft Road
Lyons, NJ 07939
Mailing address
31 Ewing Dr
Piscataway, NJ 08854-6267
Other providers in Lyons, NJ
- Monica Marie Creteau
- Kathryn Crothers
- Yamari Cruz-Guillen
- Eliesha Suro Daniels
- Julia Danishek
- Catherine Adiarte Delacruz
- Carly Frances Deliman
- Jennifer Delpesce
- Rachel Delsordo
- Brian Deoliveira
All providers in Lyons, NJ · Medical Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.