Individual provider Active NPI

Andre Paul Vernet, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1407073000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304251 Issued in NY
Practice address
525 E 68TH St RM -M130
New York, NY 10021-4870
Phone
(212) 746-5026
NPI assigned
Apr 18, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304251 NY Primary

Addresses

Primary practice location

525 E 68TH St RM -M130
New York, NY 10021-4870

Mailing address

1457 E 87TH St
Brooklyn, NY 11236-5137
Phone (718) 444-9480

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
I20140414001617 NY Practitioner - Nurse Practitioner 0941432546 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304251NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Current Accepting new patients
Expert Medical Services LLC CurrentSince Jun 22, 2019 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2013 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 22, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2013 Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

525 E 68th St
Rm M130
New York, NY 10065
Phone (212) 746-0595

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

Interoperability endpoints

  • Direct secure messaging: anv9004@direct.nyp.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407073000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 E 87TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365137",
            "telephone_number": "718-444-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST RM -M130",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNET",
        "first_name": "ANDRE",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.