Organization Active NPI

Patricia L. Andrade, MD

  • General Practice Physician
  • New Bedford, MA
National Provider Identifier
1679732580
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
81461 Issued in MA
Legal business name
PATRICIA L. ANDRADE, MD
Practice address
52 Brigham St
Suite 3
New Bedford, MA 02740-2210
Phone
(508) 994-9616
Fax
(508) 994-9628
NPI assigned
Jun 5, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Patricia L AndradeNPI 1417956426
Title
MD
Phone
(781) 407-7713

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
General Practice Physician 208D00000X 81461 MA Primary

Addresses

Primary practice location

52 Brigham St
Suite 3
New Bedford, MA 02740-2210

Mailing address

690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713

Other identifiers 1

IdentifierTypeStateIssuer
3140563MedicaidMA

National Provider Directory

National Provider Directory

Locations

52 Brigham St
Ste 3
New Bedford, MA 02740
Phone (508) 990-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1679732580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BRIGHAM ST",
            "address_2": "SUITE 3",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402210",
            "telephone_number": "508-994-9616",
            "fax_number": "508-994-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L. ANDRADE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "781-407-7713"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "81461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140563",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

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

Verify at the official NPI Registry.