NPIMap

Individual provider Active NPI

Andrew Michael Toenniessen, DO

  • General Practice Physician
  • Herkimer, NY
National Provider Identifier
1518580612
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
320513 Issued in NY
Practice address
104 N Washington St
Herkimer, NY 13350-2028
Phone
(716) 807-9573
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 320513 NY Primary

Addresses

Primary practice location

104 N Washington St
Herkimer, NY 13350-2028

Mailing address

1695 Elmwood Ave Apt 21
Buffalo, NY 14207-2474
Phone (716) 807-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605002139 NY Practitioner - General Practice 0648692186 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
Py Medical Services of Ny PLLCGroup PAC ID 8921476391, 16 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

822 Cedar Ave
Niagara Falls, NY 14301-1136
Phone (310) 709-1236

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
320513NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC CurrentSince Sep 1, 2024 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Jan 6, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince May 15, 2023 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 1, 2026 Accepting new patients
The Pearl Nursing Center of Rochester LLC Past Accepting new patients
Foltscare LLC Past Accepting new patients
Leroy Operating LLC Past Accepting new patients

Locations

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

104 N Washington St
Herkimer, NY 13350
Phone (315) 866-6964

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

10 Munson St
Le Roy, NY 14482
Phone (585) 591-6000

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Interoperability endpoints

  • Direct secure messaging: atoenniessen607372@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1518580612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 ELMWOOD AVE APT 21",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072474",
            "telephone_number": "716-807-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WASHINGTON ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502028",
            "telephone_number": "716-807-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOENNIESSEN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "320513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.