Individual provider Active NPI

Andrea O'Brien

  • Pediatrics Physician
  • Hershey, PA
National Provider Identifier
1063932200
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD464897 Issued in PA
Practice address
35 Hope Dr Ste 102
Hershey, PA 17033-2086
Phone
(717) 531-7300
Fax
(717) 531-8992
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD464897 PA
Pediatrics Physician 208000000X MD464897 PA Primary

Addresses

Primary practice location

35 Hope Dr Ste 102
Hershey, PA 17033-2086

Mailing address

1051 Sand Hill Rd
Hershey, PA 17033-2522
Phone (732) 754-7454

Other practice location 1

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4267

Other practice location 2

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809004889 PA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6901154723 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 16, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Jul 18, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Jul 18, 2018 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Pediatrics CurrentSince Oct 16, 2023 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Emergency Medicine Past Accepting new patients

Locations

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

35 Hope Dr
Ste 102
Hershey, PA 17033
Phone (717) 531-7300

35 Hope Dr
Ste 102104
Hershey, PA 17033
Phone (717) 531-5160

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1063932200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SAND HILL RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332522",
            "telephone_number": "732-754-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOPE DR STE 102",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332086",
            "telephone_number": "717-531-7300",
            "fax_number": "717-531-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-776-4267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "19611",
            "country_code": "US",
            "telephone_number": "484-628-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD464897",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD464897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.