Andrew Peredo, MD, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ANDREW PEREDO, MD, PC

Practice address

1047 Park Ave
New York, NY 10028-1002

Phone

(212) 754-6363

Fax

(646) 582-1440

NPI assigned

Dec 2, 2022

Organization subpart

No

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

Authorized official

Name

Andrew Peredo, MDNPI 1043509227

Title

Owner

Phone

(917) 828-5523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Andrew L Peredo, MD

  • Plastic Surgery Physician
  • Huntington, NY
  • NPI 1043509227
  Medicare reassignment Care Compare group NPD Authorized official
• Ruthann Parise, DPM

  • Podiatrist
  • Malverne, NY
  • NPI 1003992041
  Medicare reassignment Care Compare group NPD
• Marina I Peredo, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1902878416
  NPD (past)

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1649980459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 VANDERBILT PKWY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465527",
            "telephone_number": "212-754-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281002",
            "telephone_number": "212-754-6363",
            "fax_number": "646-582-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW PEREDO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "PEREDO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-828-5523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lee Geller, C.S.W., P.C.
• Andrew M Stromberg Deborah Boughner CSW PC
• Andrew M. Marker, Psychologist, P.C.
• Andrew Milano MD PC
• Andrew P. Szymanski, D.C., P.C.
• Andrew Resnick, Au.D., LLC
• Andrew Romar LCSW, PLLC
• Andrew S. Gardner, M.D., P.C.
• Andrew Sama MD PC
• Andrew Sarowitz DDS PC

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.