Active NPI
Andrea Feghali, NP
- Adult Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1124570528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307901-1
- Practice address
- 3400 Bainbridge Ave
3Rd Floor
Bronx, NY 10467-2404 - Phone
- (718) 920-2991
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307901-1 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave
3Rd Floor
Bronx, NY 10467-2404
Mailing address
340 E 64TH St
#5G
New York, NY 10065-7503
Phone (914) 275-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
380 2ND Ave
New York, NY 10010-5615
Phone (212) 614-8379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307901-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
380 2nd Ave
Fl 9
New York, NY 10010
Phone (212) 614-8379
380 2nd Ave
New York, NY 10010
Phone (212) 253-6600
10 Union Sq E
Ste 4F
New York, NY 10003
Phone (212) 844-8020
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1124570528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E 64TH ST",
"address_2": "#5G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657503",
"telephone_number": "914-275-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "3RD FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEGHALI",
"first_name": "ANDREA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307901-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.