Active NPI
Andrew Harrison, M.D.
- Specialist
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 06286400
- Practice address
- 101 Prospect St
Suite 107
Lakewood, NJ 08701-5020 - Phone
- (732) 905-8153
- Fax
- (732) 866-4660
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 06286400 | NJ | Primary |
Addresses
Primary practice location
101 Prospect St
Suite 107
Lakewood, NJ 08701-5020
Mailing address
101 Prospect St
Suite 107
Lakewood, NJ 08701-5020
Phone (732) 905-8153
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Prospect St
Suite 107
Lakewood, NJ 08701-5003
Phone (732) 905-8153
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Monmouth Medical Center-Southern Campus
- Community Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 06286400 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Sports Medicine & Orthopaedic Center | Current | Accepting new patients |
Locations
101 Prospect St
Ste 107
Lakewood, NJ 08701
Phone (609) 689-1229
1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c59f03b-784a-48b1-8226-af2410d7e79f/
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.
-
- Orthopaedic Surgery Physician
- Lakewood, NJ
- NPI 1710151014
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1457303166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"address_2": "SUITE 107",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-905-8153",
"fax_number": "732-866-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"address_2": "SUITE 107",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-905-8153",
"fax_number": "732-866-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA 06286400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.