Active NPI
John W Andreoli Jr., M.D.
- Obstetrics & Gynecology Physician
- New Britain, CT
National Provider Identifier
1609879543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22366
- Practice address
- 300 Kensington Ave
New Britain, CT 06051-3916 - Phone
- (860) 224-6202
- Fax
- (860) 826-4957
- NPI assigned
- May 24, 2005
- Last updated
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22366 | CT | Primary |
Addresses
Primary practice location
300 Kensington Ave
New Britain, CT 06051-3916
Mailing address
300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 224-6202
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01373 | Other | CT | GHMC GROUP MEDICARE ID |
| 368660 | Other | CT | WELLCARE MEDICARE |
| 2236601 | Other | CT | CONNECTICARE |
| 060073 | Other | CT | HEALTH NET |
| 60916784 | Other | CT | AETNA |
| 004196095 | Other | CT | GHMC GROUP MEDICAID ID |
| 010022366CT03 | Other | CT | BCBS & BCFP PROVIDER ID |
| 001223668 | Medicaid | CT | |
| 01022366 | Other | CT | CIGNA |
| P369891 | Other | CT | OXFORD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22366 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1609879543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 KENSINGTON AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513916",
"telephone_number": "860-224-6202",
"fax_number": "860-826-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 KENSINGTON AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513916",
"telephone_number": "860-224-6202",
"fax_number": "860-826-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREOLI",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "22366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMC GROUP MEDICARE ID",
"identifier": "C01373",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE",
"identifier": "368660",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "2236601",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "060073",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60916784",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMC GROUP MEDICAID ID",
"identifier": "004196095",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & BCFP PROVIDER ID",
"identifier": "010022366CT03",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001223668",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01022366",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P369891",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.