Active NPI
Andrew L Judelson, MD
- Physical Medicine & Rehabilitation Physician
- East Sandwich, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 153737
- Practice address
- 311 Service Rd
East Sandwich, MA 02537-1370 - Phone
- (508) 833-4174
- Fax
- (508) 833-4202
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 153737 | MA | Primary |
Addresses
Primary practice location
311 Service Rd
East Sandwich, MA 02537-1370
Mailing address
311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141356 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Connecticut School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
876 Falmouth Rd
Hyannis, MA 02601-2322
Phone (508) 775-6663
Hospital & facility affiliations
- Cape Cod Hospital
- Falmouth Hospital
- Beth Israel Deaconess Medical Center
- Spaulding Rehabilitation Hospital - Cape Cod
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153737 | MA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Hospital of the Cape and Islands, Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Applebaum Physiatry PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients |
Locations
128 S East St
Unit 1109
Crown Point, IN 46308
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
311 Service Rd
East Sandwich, MA 02537
Phone (508) 833-4000
876 Falmouth Rd
Hyannis, MA 02601
Phone (508) 540-3240
Interoperability endpoints
- judelson.andrew.scc@direct.partners.masshiway.net
Organizations & group practices 4
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
MA
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1568467421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 SERVICE RD",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371370",
"telephone_number": "508-833-4174",
"fax_number": "508-833-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 SERVICE RD",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371370",
"telephone_number": "508-833-4174",
"fax_number": "508-833-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDELSON",
"first_name": "ANDREW",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "153737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141356",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.