Individual provider Active NPI

Andrea Jue, M.D.

  • Ophthalmology Physician
  • Daly City, CA
National Provider Identifier
1699970129
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2608671 Issued in NY
Practice address
1850 Sullivan Avenue
Suite 540
Daly City, CA 94015-2215
Phone
(650) 755-6900
Fax
(650) 755-2107
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2608671 NY Primary

Addresses

Primary practice location

1850 Sullivan Avenue
Suite 540
Daly City, CA 94015-2215

Mailing address

128 Mott St
New York, NY 10013-5540
Phone (914) 768-3333

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
I20090813000186 NY Practitioner - Ophthalmology 2769557651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

139 Centre St
Suite 822
New York, NY 10013-4558
Phone (646) 559-8808

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

Hospital & facility affiliations

  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2608671NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl S Kaufmann MDPC Ophthalmology CurrentSince Jun 1, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Oculus Medical Eye Care PC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
New York University Past Accepting new patients

Locations

4370 Kissena Blvd
Flushing, NY 11355
Phone (718) 353-5970

4370 Kissena Blvd
Lbby D
Flushing, NY 11355
Phone (718) 353-5970

128 Mott St
New York, NY 10013
Phone (212) 732-0073

128 Mott St
Ste 408
New York, NY 10013
Phone (212) 732-0073

139 Centre St
Ste 822
New York, NY 10013
Phone (646) 559-8808

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ajue1780165@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1699970129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "914-768-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVENUE",
            "address_2": "SUITE 540",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152215",
            "telephone_number": "650-755-6900",
            "fax_number": "650-755-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUE",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2608671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.