Organization Active NPI

Andrea Podiatric Care, PLLC

Doing business as Andrea Hyperbaric Wound Care & Podiatry Center

  • Podiatrist
  • Long Island City, NY
National Provider Identifier
1568754356
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006076 Issued in NY
Legal business name
ANDREA PODIATRIC CARE, PLLC
Doing business as
Andrea Hyperbaric Wound Care & Podiatry Center
Practice address
4604 31St Ave
Long Island City, NY 11103-1842
Phone
(718) 990-4620
Fax
(718) 990-4641
NPI assigned
May 11, 2011
Organization subpart
No

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

Authorized official

Name
Dr. Mary Andrea, D.P.M.NPI 1487675104
Title
President
Phone
(845) 893-4169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N006076 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4604 31St Ave
Long Island City, NY 11103-1842

Mailing address

3110 47TH St
Long Island City, NY 11103-1668
Phone (718) 990-4620

Other names 1

  • ANDREA HYPERBARIC WOUND CARE & PODIATRY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000011 NY Part B Supplier - Clinic/Group Practice 8820275159 Receives reassigned benefits from 2 practitioners
Practice locations: Long Island City, NY; Ozone Park, NY

National Provider Directory

National Provider Directory

Locations

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

9116 101st Ave
#J
Ozone Park, NY 11416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1568754356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 47TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031668",
            "telephone_number": "718-990-4620",
            "fax_number": "718-990-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-990-4620",
            "fax_number": "718-990-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA PODIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "ANDREA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-893-4169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006076",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDREA HYPERBARIC WOUND CARE & PODIATRY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANDREA HYPERBARIC WOUND CARE & PODIATRY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.