Nina Mariana Magdalena Andrias-NG, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Glendale, NY
NPI 1639788201 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1639788201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 346425 (NY)
- Practice address
- 6829 Myrtle Ave
Glendale, NY 11385-7234 - Phone
- (718) 821-4424
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210309000954 | NY | Practitioner - Nurse Practitioner | 8820404353 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668605 | NY | MD | Ambulatory Care Registered Nurse |
| 346425 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Women'S Health of N.Y. PLLC | Current |
Accepting new patients | |
| Prominis Medical Services PC | Current |
Accepting new patients |
Locations
332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101
6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 668605 | NY | |
| Family Nurse Practitioner | 363LF0000X | 346425 | NY | Yes |
Addresses
Primary practice location
6829 Myrtle Ave
Glendale, NY 11385-7234
Mailing address
6829 Myrtle Ave
Glendale, NY 11385-7234
Phone (718) 821-4424
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andriasn@nychhc.org | Direct |
Other providers in Glendale, NY
- Christine Marie Alioto
- Tayseer Mahmoud Amin
- Ana Scopu DDS PC
- Frances Milagros Anderson
- Diana Andrade
- Anna Arsenous Physician PLLC
- Matthew Antonioni
- Apex Dental, PC
- Apteka Pharmacy Inc
- Shinette May B Araneta
All providers in Glendale, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.