Individual provider Active NPI

Andrea Dee Febles, S E TEACHER

  • Specialist
  • Port Jefferson Station, NY
National Provider Identifier
1669737565
Registry record updated Jul 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
126 Montrose Dr
Port Jefferson Station, NY 11776-1318
Phone
(631) 375-4228
NPI assigned
Jul 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

126 Montrose Dr
Port Jefferson Station, NY 11776-1318

Mailing address

126 Montrose Dr
Port Jefferson Station, NY 11776-1318
Phone (631) 375-4228

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

NPI Registry JSON

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

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341705600000",
    "number": "1669737565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MONTROSE DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761318",
            "telephone_number": "631-375-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MONTROSE DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761318",
            "telephone_number": "631-375-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBLES",
        "first_name": "ANDREA",
        "middle_name": "DEE",
        "credential": "S E TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-08",
        "last_updated": "2012-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.