Individual provider Active NPI

Nina Mariana Magdalena Andrias-NG, FNP-C

  • Family Nurse Practitioner
  • Glendale, NY
National Provider Identifier
1639788201
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346425 Issued in NY
Practice address
6829 Myrtle Ave
Glendale, NY 11385-7234
Phone
(718) 821-4424
NPI assigned
Jul 29, 2020
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 668605 NY
Family Nurse Practitioner 363LF0000X 346425 NY Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address andriasn@nychhc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210309000954 NY Practitioner - Nurse Practitioner 8820404353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
668605NYMDAmbulatory Care Registered Nurse
346425NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Oct 25, 2021 Accepting new patients
Comprehensive Women's Health of N.Y. PLLC CurrentSince Oct 25, 2021 Accepting new patients

Locations

332 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 687-6161

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

Interoperability endpoints

  • Direct secure messaging: andriasn@nychhc.org

Organizations & group practices 2

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1639788201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "718-821-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "718-821-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIAS-NG",
        "first_name": "NINA",
        "middle_name": "MARIANA MAGDALENA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NY",
            "license": "668605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andriasn@nychhc.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured workemail",
            "address_1": "7901 Broadway",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113731329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.