Individual provider Active NPI

Andrea Andrade, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1154740462
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2909081 Issued in NY
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

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000739 NY Practitioner - Family Practice 2466734413 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2909081NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med CurrentSince Jan 16, 2023 Accepting new patients
Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med PastSince Mar 20, 2025 Accepting new patients
Andrade Medical PLLC Family Medicine PastSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.