Individual provider Active NPI

Andrew Nelson De la Torre, M.D.

  • Surgery Physician
  • Paterson, NJ
National Provider Identifier
1184659823
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA06093000 Issued in NJ
Practice address
703 Main St
Regan 2007
Paterson, NJ 07503-2621
Phone
(973) 754-2315
Fax
(973) 754-3528
NPI assigned
Jul 11, 2006
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA06093000 NJ Primary

Addresses

Primary practice location

703 Main St
Regan 2007
Paterson, NJ 07503-2621

Mailing address

703 Main St
Regan 2007
Paterson, NJ 07503-2621
Phone (973) 754-2315

Other identifiers 1

IdentifierTypeStateIssuer
8532907MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050929000163 NJ Practitioner - General Surgery 5395770275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Johns Hopkins University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical and Health Associates,LLCGroup PAC ID 9133300791, 24 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Journal Square PLZ
Suite 2
Jersey City, NJ 07306-4004
Phone (201) 216-3030

3196 Kennedy Blvd
Union City, NJ 07087-2436
Phone (201) 716-5850

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000

519 Broadway
Bayonne, NJ 07002-3713

59 Newark St
Hoboken, NJ 07030-4545
Phone (201) 984-1270

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06093000NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 26, 2024 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Aug 9, 2012 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Jan 1, 2019 Accepting new patients
Barnabas Health Medical Group PC Surgery CurrentSince Sep 26, 2024 Accepting new patients

Locations

519 Broadway
Ste 3700
Bayonne, NJ 07002
Phone (201) 942-4540

654 Broadway
Bayonne, NJ 07002
Phone (201) 243-9999

654 Broadway
Fl 2
Bayonne, NJ 07002
Phone (201) 339-1257

59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800

1 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

169 York St
Fl 4
Jersey City, NJ 07302
Phone (201) 792-1600

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#2007
Paterson, NJ 07503
Phone (973) 754-2315

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1184659823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "REGAN 2007",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2315",
            "fax_number": "973-754-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "REGAN 2007",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2315",
            "fax_number": "973-754-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "ANDREW",
        "middle_name": "NELSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06093000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8532907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.