Individual provider Active NPI

Andrea Emilia Verdejo

  • Critical Care Medicine Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1588523351
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
792810 Issued in NY
Practice address
343 Marshall Dr N Apt 1a
Brooklyn, NY 11209-8529
Phone
(352) 431-9148
Fax
(352) 431-9148
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 792810 NY Primary

Addresses

Primary practice location

343 Marshall Dr N Apt 1a
Brooklyn, NY 11209-8529

Mailing address

343 Marshall Dr N Apt 1a
Brooklyn, NY 11209-8529
Phone (352) 431-9148

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

State licenses

LicenseStateTypeSpecialty
792810NYMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1588523351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MARSHALL DR N APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098529",
            "telephone_number": "352-431-9148",
            "fax_number": "352-431-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MARSHALL DR N APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098529",
            "telephone_number": "352-431-9148",
            "fax_number": "352-431-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEJO",
        "first_name": "ANDREA",
        "middle_name": "EMILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "792810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.