Individual provider Active NPI

Andrea L Zawadzky, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1316620149
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14892600 Issued in NJ
Practice address
Modern Psychiatry
20 Hospital Drive, Suite 4
Toms River, NJ 08755-0875
Phone
(732) 831-6094
Fax
(732) 832-3632
NPI assigned
Aug 9, 2023
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 234523 LA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NJ14892600 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188444 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4010896 KY

Addresses

Primary practice location

Modern Psychiatry
20 Hospital Drive, Suite 4
Toms River, NJ 08755-0875

Mailing address

114 Hooper Ave
Toms River, NJ 08753-7606
Phone (908) 309-7200

Other practice location 1

604 Locust Rd
Brielle, NJ 08730-1716
Phone (908) 309-7200

Other practice location 2

Ocean County Jail
114 Hooper Avenue
Toms River, NJ 08754
Phone (732) 299-2043 ext. 2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, FL, LA, VA, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20241115000756 NJ Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 2 organizations
I20241219002461 TX Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 1 organization
I20250618003828 FL Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 1 organization
I20250626002933 LA Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 1 organization
I20250919001732 VA Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 1 organization
I20260205001447 KY Practitioner - Nurse Practitioner 8729512561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Psychiatry PAGroup PAC ID 4587025721, 8 clinicians
Modern Psychiatry NJ PCGroup PAC ID 2961865464, 17 clinicians

Practice addresses (Care Compare)

24721 State Hwy 249
Tomball, TX 77375-7727
Phone (732) 831-6094

3198 Terrace Ave
Slidell, LA 70458-4500
Phone (985) 277-1043

365 Wekiva Springs Rd
Suite 231
Longwood, FL 32779-3690
Phone (732) 831-6094

40 Bey Lea Rd
Toms River, NJ 08753-2900
Phone (732) 831-6094

4229 Bardstown Rd
Suite 316
Louisville, KY 40218-3287
Phone (732) 831-6094

4932 Dominion Blvd
Glen Allen, VA 23060-6714
Phone (804) 548-4863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4010896KYMDPsychiatric/Mental Health Nurse Practitioner
234523LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Medical Care,PC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Modern Psychiatry NJ PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Modern Psychiatry, PA Single Specialty CurrentSince Oct 18, 2024 Accepting new patients
Tears to Cheers Handwriting Clinic, LLC Single Specialty CurrentSince Oct 18, 2024 Accepting new patients
Village of Hope Inc Single Specialty PastSince Sep 10, 2023 Accepting new patients

Locations

365 Wekiva Springs Rd
Ste 231
Longwood, FL 32779
Phone (407) 470-5908

453 N Kirkman Rd
Ste 103
Orlando, FL 32811
Phone (407) 437-1642

4229 Bardstown Rd
Ste 316
Louisville, KY 40218
Phone (502) 203-5536

3198 Terrace Ave
Slidell, LA 70458
Phone (985) 277-1043

100 Belchase Dr
Ste 101
Matawan, NJ 07747
Phone (732) 707-4100

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

8355 Walnut Hill Ln
Ste 225A
Dallas, TX 75231
Phone (346) 336-2265

24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681

Interoperability endpoints

  • Direct secure messaging: modernpsychiatry.andreazawadzky@161825.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1316620149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537606",
            "telephone_number": "908-309-7200",
            "fax_number": "732-506-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MODERN PSYCHIATRY",
            "address_2": "20 HOSPITAL DRIVE, SUITE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550875",
            "telephone_number": "732-831-6094",
            "fax_number": "732-832-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Locust Rd",
            "address_purpose": "LOCATION",
            "city": "Brielle",
            "state": "NJ",
            "postal_code": "087301716",
            "country_code": "US",
            "telephone_number": "908-309-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ocean County Jail",
            "address_2": "114 Hooper Avenue",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08754",
            "country_code": "US",
            "telephone_number": "732-299-2043 x2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWADZKY",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "234523",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14892600",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188444",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4010896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.