Individual provider Active NPI

Elizabeth Andrade, FNP-BC

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1316748700
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356168 Issued in NY
Practice address
9033 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone
(718) 457-7000
Fax
(718) 899-4955
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F356168 NY Primary

Addresses

Primary practice location

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935

Mailing address

24719 88TH Rd
Bellerose, NY 11426-1611
Phone (718) 912-5033

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
I20251106003588 NY Practitioner - Nurse Practitioner 2668962705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24719 88TH Rd
Bellerose, NY 11426-1611

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F356168NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Medical Office, P.C. CurrentSince Nov 3, 2025 Accepting new patients

Locations

8708 Justice Ave
Ste C8
Elmhurst, NY 11373
Phone (718) 424-0339

4046 74th St
Elmhurst, NY 11373
Phone (718) 458-1515

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1316748700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24719 88TH RD",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261611",
            "telephone_number": "718-912-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 ELMHURST AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727935",
            "telephone_number": "718-457-7000",
            "fax_number": "718-899-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.