Michael P Andronico, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00065500 Issued in NJ

Practice address

107 Cedar Grove LN
Suite 103-G
Somerset, NJ 08873-4719

Phone

(732) 564-9500

Fax

(732) 564-9501

NPI assigned

May 22, 2007

Last updated

Feb 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1963

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael P. Andronico, PH.D., P.C.

  • Psychologist
  • Somerset, NJ
  • NPI 1053566000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1467661645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 103 G",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-564-9500",
            "fax_number": "732-564-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 103-G",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-564-9500",
            "fax_number": "732-564-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRONICO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00065500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053566000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shital Amin, RT
• Amit Gupta Professional Association
• An Angel for Everyone LLC (An Angel For Everyone)
• Gloria Yolanda Anderson, MA, CCC-SLP
• Andrew M Camerota MD PA
• Anesthesia Consultants of New Jersey LLC
• Anew Wellness, LLC
• Brian Ang, M.D.
• Daphne Chua Ang, MD
• Angel of Mercy LLC

• Psychologist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.

Verify at the official NPI Registry.