Individual provider Active NPI

Andi Huang, MA

  • Physician Assistant
  • Rego Park, NY
National Provider Identifier
1295230837
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020893 Issued in NY
Practice address
9712 63Rd Dr
Rego Park, NY 11374-2243
Phone
(718) 830-0004
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020893 NY Primary

Addresses

Primary practice location

9712 63Rd Dr
Rego Park, NY 11374-2243

Mailing address

1836 125TH St
College Point, NY 11356-2308
Phone (718) 688-9889

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130000478 NY Practitioner - Physician Assistant 3678909280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Dermatology PCGroup PAC ID 1557776739, 9 clinicians

Practice addresses (Care Compare)

1927 86TH St
Apt 1
Brooklyn, NY 11214-3153
Phone (347) 509-6888

5604 7TH Ave
Suite 1
Brooklyn, NY 11220-4660
Phone (718) 360-7666

99 Bowery
FL 1
New York, NY 10002-4911
Phone (212) 756-6688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
020893NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Medical Dermatology PLLC PastSince Mar 20, 2025 Accepting new patients
New York University Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1295230837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 125TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562308",
            "telephone_number": "718-688-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742243",
            "telephone_number": "718-830-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "ANDI",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.