NPIMap

Individual provider Active NPI

Jeffrey D'Andrea, DO

  • Cardiovascular Disease Physician
  • Kingston, PA
National Provider Identifier
1073506424
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS008189L Issued in PA
Practice address
517 Pierce St
Kingston, PA 18704-5756
Phone
(570) 371-3536
Fax
(570) 371-3539
NPI assigned
Aug 31, 2005
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS008189L PA Primary

Addresses

Primary practice location

517 Pierce St
Kingston, PA 18704-5756

Mailing address

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 371-3536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000016 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315981156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 371-3536

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Ultrasound, Inc CurrentSince Jun 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2000 Accepting new patients
D'Andrea Cardiovascular Care Center LLC Cardiovascular Disease CurrentSince Aug 27, 2012 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2000 Accepting new patients
Wyoming Valley Heart Group Inc. Cardiovascular Disease Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

1099 S Township Blvd
Pittston, PA 18640
Phone (570) 602-2400

1099 S Township Blvd
Ste E
Pittston, PA 18640
Phone (570) 654-2533

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5915/brand/4/csg/1/fhir/r4
  • Direct secure messaging: jeffery.d.andrea.1@5915.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1073506424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-371-3536",
            "fax_number": "570-371-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-371-3536",
            "fax_number": "570-371-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANDREA",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS008189L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.