Andrea R. Medel, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00221300 Issued in NJ

Practice address

1 Bay St
Glen Ridge, NJ 07028-1505

Phone

(973) 429-6200

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Dermatology LLCGroup PAC ID 8325363187, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIHCA/Endpoint/EFIHCA

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.

• Garden State Dermatology LLC

  • Medical Specialty Clinic/Center
  • Rutherford, NJ
  • NPI 1811305444
  Medicare reassignment Care Compare group
• Doctor'S Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  Medicare reassignment
• Clara Maass Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Belleville, NJ
  • NPI 1447516000
  NPD (past)
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  NPD (past)
• Hoboken Emergency Physicians, PC

  • Emergency Medicine Physician
  • Hoboken, NJ
  • NPI 1942287883
  NPD (past)
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1508098765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY ST",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281505",
            "telephone_number": "973-429-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY ST",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281505",
            "telephone_number": "973-429-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEL",
        "first_name": "ANDREA",
        "middle_name": "R.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00221300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Manez
• Maranatha Pharmacy Services
• Domenic L Mariano, DO
• Kellie Ann McGuire, FNP
• Mecap Inc
• Medical Assoc of Montclair
• Medical Associates of Montclair
• Kamlesh Mehrotra, LICENSED PROFESSIONA
• Cornel Mircea, MD
• Reema Mistry, PA-C

• Physician Assistant in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2016; 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.