Individual provider Active NPI

Alan Douglas Andrews, M.D.

  • Dermatology Physician
  • Closter, NJ
National Provider Identifier
1104990035
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA04601400 Issued in NJ
Practice address
500 Piermont Rd
Closter, NJ 07624-2845
Phone
(201) 767-0501
Fax
(201) 767-7904
NPI assigned
Nov 20, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA04601400 NJ Primary

Addresses

Primary practice location

500 Piermont Rd
Closter, NJ 07624-2845

Mailing address

500 Piermont Rd Ste 101
Closter, NJ 07624-2846
Phone (201) 767-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050316000906 NJ Practitioner - Dermatology 8123073731 Practice locations: Closter, NJ; Woodcliff Lake, NJ

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Piermont Rd
Suite 101
Closter, NJ 07624-2845

500 Piermont Rd
Suite 101
Closter, NJ 07624-2846
Phone (201) 767-0501

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as individual
Quality
90.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions133
Removal or shaving of skin growth1-10
Skin biopsy434

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: aandrews@aandrews.direct.medicscloud.com

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1104990035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD STE 101",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242846",
            "telephone_number": "201-767-0501",
            "fax_number": "201-767-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242845",
            "telephone_number": "201-767-0501",
            "fax_number": "201-767-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "ALAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04601400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.