Active NPI
Nicolas Andrea, MD
- Emergency Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 80462
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4201 - Phone
- (475) 210-5604
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT222257 | PA | |
| Emergency Medicine Physician | 207P00000X | 80462 | CT | Primary |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4201
Mailing address
1290 Silas Deane Hwy
HHC-Cvo
Wethersfield, CT 06109
Other practice location 1
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000
Organizations & group practices 9
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT
-
- Gynecologic Oncology Physician
- Phillipsburg, NJ
- NPI 1679847396
NJ
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Plastic and Reconstructive Surgery Physician
- Bethlehem, PA
- NPI 1538314638
-
- Psychiatry Physician
- Phillipsburg, NJ
- NPI 1467726117
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Healthcare Medical Group Specialists PLLC
Practice addresses (Care Compare)
2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-6000
Hospital & facility affiliations
- St Vincent'S Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108002483 | PA | Practitioner - Emergency Medicine | 8123437712 | Reassigns benefits to 2 organizations |
| I20241009001329 | NJ | Practitioner - Emergency Medicine | 8123437712 | Reassigns benefits to 1 organization |
| I20250328001950 | CT | Practitioner - Emergency Medicine | 8123437712 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80462 | CT | MD | Emergency Medicine Physician |
| MT222257 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
Interoperability endpoints
- nandrea261909@direct-sluhn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1366023533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"address_2": "HHC-CVO",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "06109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "475-210-5604"
}
],
"practiceLocations": [
{
"address_1": "801 Ostrum St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "484-526-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREA",
"first_name": "NICOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2025-03-27",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT222257",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "80462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.