Active NPI
Marvin Nicholas Andrade Jr.
- Cardiovascular Disease Physician
- Fayetteville, NC
National Provider Identifier
1184583072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 200601668
- Practice address
- 3505 Village Dr Ste 201
Fayetteville, NC 28304-4514 - Phone
- (910) 323-0065
- NPI assigned
- Jan 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 200601668 | NC | Primary |
Addresses
Primary practice location
3505 Village Dr Ste 201
Fayetteville, NC 28304-4514
Mailing address
3505 Village Dr Ste 201
Fayetteville, NC 28304-4514
Phone (910) 323-0065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200601668 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Cardiology, P.a. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Cardiology Physician
- Fayetteville, NC
- NPI 1386827574
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1184583072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 VILLAGE DR STE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044514",
"telephone_number": "910-323-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 VILLAGE DR STE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044514",
"telephone_number": "910-323-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "MARVIN",
"middle_name": "NICHOLAS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-17",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "200601668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.