NPIMap

Individual provider Active NPI

Rose-Ternie Andris, MD

  • Family Medicine Physician
  • Rio Grande, NJ
National Provider Identifier
1124605324
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA13064200 Issued in NJ
Practice address
4011 Route 9 S Ste 201
Rio Grande, NJ 08242-1918
Phone
(609) 770-7788
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA13064200 NJ Primary
Family Medicine Physician 207Q00000X ME162544 FL

Addresses

Primary practice location

4011 Route 9 S Ste 201
Rio Grande, NJ 08242-1918

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

13540 SW 135th Ave
Miami, FL 33186-6184
Phone (786) 231-0800

Other identifiers 2

IdentifierTypeStateIssuer
120331300MedicaidFL
R6593OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Randris@chisouthfl.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231214003477 FL Practitioner - Family Practice 5991154007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of South Florida Inc 58 clinicians

Practice addresses (Care Compare)

10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone (305) 253-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162544FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida Inc CurrentSince Nov 10, 2023 Accepting new patients
Community Health of South Florida, Inc CurrentSince Nov 10, 2023 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

13540 SW 135th Ave
Miami, FL 33186
Phone (786) 223-0994

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1124605324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ROUTE 9 S STE 201",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421918",
            "telephone_number": "609-770-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13540 SW 135th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331866184",
            "country_code": "US",
            "telephone_number": "786-231-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRIS",
        "first_name": "ROSE-TERNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA13064200",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120331300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R6593",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Randris@chisouthfl.org",
            "affiliation": "N",
            "address_1": "10300 SW 216th St",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331901003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

Verify at the official NPI Registry.