Active NPI
Andrew Henry, R.N.
- Registered Nurse
- Bronx, NY
National Provider Identifier
1508297177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 650445-1
- Practice address
- 5050 Iselin Ave
Bronx, NY 10471-2915 - Phone
- (718) 549-6700
- Fax
- (718) 796-0758
- NPI assigned
- Dec 9, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 650445-1 | NY | Primary |
Addresses
Primary practice location
5050 Iselin Ave
Bronx, NY 10471-2915
Mailing address
63 Grand Meadow Dr
Mahopac, NY 10541-2245
Phone (914) 513-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650445-1 | NY | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1508297177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GRAND MEADOW DR",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105412245",
"telephone_number": "914-513-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 ISELIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712915",
"telephone_number": "718-549-6700",
"fax_number": "718-796-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-09",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "650445-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.