Active NPI
Andrea N Price, M.D.
- Gynecology Physician
- Eatontown, NJ
National Provider Identifier
1477590685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MA72626
- Practice address
- 354 Broad St
Eatontown, NJ 07724-2329 - Phone
- (732) 542-3800
- Fax
- (848) 456-4476
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MA72626 | NJ | Primary |
Addresses
Primary practice location
354 Broad St
Eatontown, NJ 07724-2329
Mailing address
354 Broad St
Eatontown, NJ 07724-2329
Phone (732) 542-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004197 | Medicaid | NJ |
Other names 1
- Dr. Andrea N Price-Rutty
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421000454 | NJ | Practitioner - Obstetrics/Gynecology | 0547256182 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
354 Broad St
Eatontown, NJ 07724-2329
Phone (732) 542-3800
Hospital & facility affiliations
- Riverview Medical Center
- Monmouth Medical Center
- Bayshore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA72626 | NJ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Center for Integrative Health | Gynecology | Current | Accepting new patients |
| Womens Health Alliance LLC | Gynecology | Past | Accepting new patients |
Locations
354 Broad St
Eatontown, NJ 07724
Phone (732) 542-3800
Interoperability endpoints
- https://api.platform.athenahealth.com/12696/brand/1/csg/1/fhir/r4
- andrea.price.1@12696.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Gynecology Physician
- Eatontown, NJ
- NPI 1841553674
Gynecology, NJ
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1477590685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 BROAD ST",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242329",
"telephone_number": "732-542-3800",
"fax_number": "848-456-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 BROAD ST",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242329",
"telephone_number": "732-542-3800",
"fax_number": "848-456-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ANDREA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "MA72626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004197",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "PRICE-RUTTY",
"middle_name": "N",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Eatontown, NJ
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- Premier Mental & Behavioral Services, Inc
- Nicholas Premnauth, OD
- Shea-Lynn Prendergast, LPC
- Preop Medical LLC
- James Rawlins Price, CADC INTERN
- Prime Time Center Inc
- Princeton Healthcare System
- Professional Counseling Services of Central New Jersey, LLC
- Providing Hands Home Care Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.