Active NPI
Andres Irizarry, PA-C
- Physician Assistant
- Lindenwold, NJ
National Provider Identifier
1134031073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 125 S White Horse Pike
Lindenwold, NJ 08021-2346 - Phone
- (856) 381-6045
- NPI assigned
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
125 S White Horse Pike
Lindenwold, NJ 08021-2346
Mailing address
901 Walnut St
Philadelphia, PA 19107-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1134031073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S WHITE HORSE PIKE",
"city": "LINDENWOLD",
"state": "NJ",
"postal_code": "080212346",
"telephone_number": "856-381-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "ANDRES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenwold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.