Individual provider Active NPI

Ada M Andino, RN, APN

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1609582741
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01419100 Issued in NJ
Practice address
624 Newark Ave
Elizabeth, NJ 07208-3539
Phone
(908) 353-3626
Fax
(908) 353-3625
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01419100 NJ Primary

Addresses

Primary practice location

624 Newark Ave
Elizabeth, NJ 07208-3539

Mailing address

207 E 9TH St
Plainfield, NJ 07060-2530
Phone (908) 422-2758

Other practice location 1

204 Fayette St
Perth Amboy, NJ 08861-4161
Phone (732) 293-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216004341 NJ Practitioner - Nurse Practitioner 8123462181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

330 Livingston Ave
Suite 221
New Brunswick, NJ 08901-3469
Phone (732) 543-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Jul 1, 2024 Accepting new patients
DRX Paramus, LLC CurrentSince Jun 18, 2024 Accepting new patients
Advocare, LLC CurrentSince Sep 1, 2025 Accepting new patients
Center for Diagnosis and Treatment, LLC CurrentSince Dec 20, 2023 Accepting new patients
Advocare , LLC CurrentSince Sep 1, 2025 Accepting new patients
Luis Benalcazar, MD Past Accepting new patients
Jersey Irish Medical PastSince Oct 26, 2019 Accepting new patients
Advocare, LLC Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

624 Newark Ave
Elizabeth, NJ 07208
Phone (908) 353-3626

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

1050 W Edgar Rd
Linden, NJ 07036
Phone 7324041555303

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

330 Livingston Ave
Ste 221
New Brunswick, NJ 08901
Phone (732) 543-0600

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

204 Fayette St
Perth Amboy, NJ 08861
Phone (732) 293-3620

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1609582741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 9TH ST",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602530",
            "telephone_number": "908-422-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083539",
            "telephone_number": "908-353-3626",
            "fax_number": "908-353-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Fayette St",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088614161",
            "country_code": "US",
            "telephone_number": "732-293-3620",
            "fax_number": "732-293-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDINO",
        "first_name": "ADA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01419100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.