Individual provider Active NPI

Mary Andrea, DPM

  • Podiatrist
  • Ozone Park, NY
National Provider Identifier
1487675104
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006076-1 Issued in NY
Practice address
9116 101St Ave
Ozone Park, NY 11416-2219
Phone
(718) 482-0010
Fax
(718) 482-0012
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006076-1 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X N006076-1 NY
Durable Medical Equipment & Medical Supplies 332B00000X NY
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X N006076-01 NY

Addresses

Primary practice location

9116 101St Ave
Ozone Park, NY 11416-2219

Mailing address

9116 101St Ave
Ozone Park, NY 11416-2219
Phone (718) 482-0010

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000805 NY Practitioner - Podiatry 1850342809 Reassigns benefits to 2 organizations
Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9116 101St Ave
Ozone Park, NY 11416-2219
Phone (718) 482-0010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue549
Removal of nail tissue19
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006076NYMDAcupuncturist
N006076-01NYMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
N006076-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Podiatric Care, PLLC Podiatrist CurrentSince Mar 18, 2011 Accepting new patients
Andrea Health Care LLC Podiatrist CurrentSince Jan 1, 2022 Accepting new patients
Plastic Surgery PLLC Past Accepting new patients
Lifeco Medical, P.C. Podiatrist Past Accepting new patients
J. Alexander Jarbath D.P.M., P.C. PastSince Feb 6, 2022 Accepting new patients

Locations

3110 47th St
Long Island City, NY 11103
Phone (718) 482-0010

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

9116 101st Ave
Ozone Park, NY 11416
Phone (718) 414-9884

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1487675104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162219",
            "telephone_number": "718-482-0010",
            "fax_number": "718-482-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162219",
            "telephone_number": "718-482-0010",
            "fax_number": "718-482-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREA",
        "first_name": "MARY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006076-1",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006076-1",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "N006076-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.