Individual provider Active NPI

Andrews Adu Adade, M.D. , M.P.H.

  • Pediatric Adolescent Medicine Physician
  • Stamford, CT
National Provider Identifier
1386704682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
025919 Issued in CT
Practice address
18 Hillandale Ave
Stamford, CT 06902-2808
Phone
(203) 327-9333
Fax
(203) 325-8566
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 025919 CT Primary
Pediatric Adolescent Medicine Physician 2080A0000X 162232 NY

Addresses

Primary practice location

18 Hillandale Ave
Stamford, CT 06902-2808

Mailing address

18 Hillandale Ave
Stamford, CT 06902-2808
Phone (203) 327-9333

Other identifiers 2

IdentifierTypeStateIssuer
00894808MedicaidNY
001259191MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025919CTMDPediatric Adolescent Medicine Physician
162232NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Adade MD, PC Adolescent Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADABA/Endpoint/BADABA

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386704682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HILLANDALE AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022808",
            "telephone_number": "203-327-9333",
            "fax_number": "203-325-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HILLANDALE AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022808",
            "telephone_number": "203-327-9333",
            "fax_number": "203-325-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADADE",
        "first_name": "ANDREWS",
        "middle_name": "ADU",
        "credential": "M.D. , M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "025919",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "162232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00894808",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001259191",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.