Individual provider Active NPI

Robert Miles Andrews, DO

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
National Provider Identifier
1649513813
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
295281 Issued in NY
Practice address
103 River Rd Ste 102
Edgewater, NJ 07020-1016
Phone
(201) 654-6397
NPI assigned
Apr 5, 2013
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB10182700 NJ
Physical Medicine & Rehabilitation Physician 208100000X 295281 NY Primary

Addresses

Primary practice location

103 River Rd Ste 102
Edgewater, NJ 07020-1016

Mailing address

10850 71St Ave Apt 3G
Forest Hills, NY 11375-4524
Phone (516) 263-6928

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-0123

Other practice location 2

90 Bergen St # 3100
Newark, NJ 07103-2425
Phone (973) 972-2802

Other practice location 3

3423 Guider Ave
Brooklyn, NY 11235-5271
Phone (718) 332-4747

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017003296 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9032461181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multi-Specialty Pain Management PCGroup PAC ID 1254220650, 3 clinicians

Practice addresses (Care Compare)

3713 E Tremont Ave
FRNT 2
Bronx, NY 10465-2054
Phone (718) 792-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10182700NJMDPhysical Medicine & Rehabilitation Physician
295281NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W Medical Care PC CurrentSince Oct 1, 2018 Accepting new patients
Multi-Specialty Pain Management, PC CurrentSince Oct 10, 2024 Accepting new patients

Locations

3058 E Tremont Ave
Bronx, NY 10461
Phone (718) 409-0500

3713 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-4878

3713 E Tremont Ave
Frnt 2
Bronx, NY 10465
Phone (718) 822-4262

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1649513813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 71ST AVE APT 3G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754524",
            "telephone_number": "516-263-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD STE 102",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-654-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Bergen St # 3100",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032425",
            "country_code": "US",
            "telephone_number": "973-972-2802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3423 Guider Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355271",
            "country_code": "US",
            "telephone_number": "718-332-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "ROBERT",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB10182700",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "295281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.