Individual provider Active NPI

Anthony Andres, P.A-C

  • Personal Emergency Response Attendant
  • Denville, NJ
National Provider Identifier
1346336419
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
25MP00104500 Issued in NJ
Practice address
25 Pocono Rd
Denville, NJ 07834-2954
Phone
(973) 625-6063
NPI assigned
Oct 5, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 25MP00104500 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
Denville, NJ 07834-2954

Mailing address

9 Tottenham CT
Jersey City, NJ 07305-5502
Phone (732) 690-0121

Other identifiers 1

IdentifierTypeStateIssuer
P00334812OtherNJRAILROAD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000661 NJ Practitioner - Physician Assistant 9335191717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

1286 Springfield Ave
New Providence, NJ 07974-2901
Phone (908) 402-3338

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00104500NJMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Emergency Assoc PA CurrentSince Sep 1, 2013 Accepting new patients
Am PM Primary Care Past Accepting new patients
Jersey Irish Medical PastSince Oct 26, 2019 Accepting new patients

Organizations & group practices 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1346336419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TOTTENHAM CT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073055502",
            "telephone_number": "732-690-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NJ",
            "license": "25MP00104500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00334812",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.