Organization Active NPI

Andrea Ward DPM PC

  • Podiatrist
  • New York, NY
National Provider Identifier
1649454869
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004627 Issued in NY
Legal business name
ANDREA WARD DPM PC
Practice address
222 W 116TH St
New York, NY 10026-2416
Phone
(212) 222-7800
Fax
(212) 222-7955
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Andrea Ward, D.P.M.NPI 1316937493
Title
Sole Proprietor
Phone
(212) 222-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N004627 NY Primary

Addresses

Primary practice location

222 W 116TH St
New York, NY 10026-2416

Mailing address

1374 Main St
Stratford, CT 06615-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050812000377 NY Part B Supplier - Clinic/Group Practice 3678503364 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20101102000624 NY DME Supplier - Physician - Podiatry 3678503364 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1649454869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262416",
            "telephone_number": "212-222-7800",
            "fax_number": "212-222-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA WARD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-222-7800",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.