Andre Cormerais

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014985 Issued in NY

Practice address

333 E 38TH St FL 4
New York, NY 10016-2772

Phone

(212) 263-6338

NPI assigned

Apr 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1174900252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 38TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162772",
            "telephone_number": "212-263-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 38TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162772",
            "telephone_number": "212-263-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMERAIS",
        "first_name": "ANDRE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acormerais208396@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 E 38th St Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100162772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Marie Corley, RN
• Charles Ian Corley, L.M.H.C.
• Elizabeth Mae Corley, M.D.
• Charles J. Corliss, PH.D.
• Beth H Corman, DC
• Beatrice Cormier, MD
• Jacqueline Eileen Cormier, MS OT
• Beth E Corn, MD
• Fanny Corne, NP
• Blas Miguel Cornejo Esparza, MD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.