Active NPI
Alexander Andreyeff, D.D.S.
- Dentist
- Maplewood, NJ
National Provider Identifier
1659548261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01880800
- Practice address
- 1630 Springfield Ave
Alexander Andreyeff DDS Dental Office
Maplewood, NJ 07040 - Phone
- (973) 762-4977
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01880800 | NJ | Primary |
Addresses
Primary practice location
1630 Springfield Ave
Alexander Andreyeff DDS Dental Office
Maplewood, NJ 07040
Mailing address
1630 Springfield Ave
Alexander Andreyeff DDS Dental Office
Maplewood, NJ 07040
Phone (973) 762-4977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01485794 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01880800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1659548261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SPRINGFIELD AVE",
"address_2": "ALEXANDER ANDREYEFF DDS DENTAL OFFICE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-762-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SPRINGFIELD AVE",
"address_2": "ALEXANDER ANDREYEFF DDS DENTAL OFFICE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-762-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREYEFF",
"first_name": "ALEXANDER",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01880800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01485794",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.