Active NPI
Andrea Andrade, M.D.
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1154740462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2909081
- Practice address
- 3485 E Tremont Ave
Bronx, NY 10465-2016 - Phone
- (718) 828-1549
- Fax
- (718) 828-5029
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2909081 | NY | Primary |
Addresses
Primary practice location
3485 E Tremont Ave
Bronx, NY 10465-2016
Mailing address
482 Winding Rd N
Ardsley, NY 10502-2702
Phone (914) 498-3635
Other practice location 1
4446 Broadway
New York, NY 10040-2939
Phone (646) 684-3040
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1927 Williamsbridge Rd
Bronx, NY 10461-1604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909081 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med | Current | Accepting new patients | |
| Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med | Past | Accepting new patients | |
| Andrade Medical PLLC | Family Medicine | Past | Accepting new patients |
Locations
3485 E Tremont Ave
#2
Bronx, NY 10465
4446 Broadway
New York, NY 10040
Phone (212) 567-6000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1982016598
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1578210290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1154740462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 WINDING RD N",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022702",
"telephone_number": "914-498-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652016",
"telephone_number": "718-828-1549",
"fax_number": "718-828-5029"
}
],
"practiceLocations": [
{
"address_1": "4446 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100402939",
"country_code": "US",
"telephone_number": "646-684-3040",
"fax_number": "646-478-7869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRADE",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "2909081",
"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 Jun 20, 2023; 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.