Active NPI
Andrews Adu Adade, M.D. , M.P.H.
- Pediatric Adolescent Medicine Physician
- Stamford, CT
National Provider Identifier
1386704682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 025919
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00894808 | Medicaid | NY | |
| 001259191 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025919 | CT | MD | Pediatric Adolescent Medicine Physician |
| 162232 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Adade MD, PC | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatric Adolescent Medicine Physician
- Stamford, CT
- NPI 1801150867
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.