Active NPI
Jae Andrews, LPN
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1710379524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0158065
- Practice address
- 129 Sherman Ave Apt 23
New York, NY 10034-5647 - Phone
- (949) 478-5673
- NPI assigned
- Mar 3, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0158065 | NY | Primary |
Addresses
Primary practice location
129 Sherman Ave Apt 23
New York, NY 10034-5647
Mailing address
129 Sherman Ave Apt 23
New York, NY 10034-5647
Phone (949) 478-5673
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 |
|---|---|---|---|
| 0158065 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1710379524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 SHERMAN AVE APT 23",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100345647",
"telephone_number": "949-478-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 SHERMAN AVE APT 23",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100345647",
"telephone_number": "949-478-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "JAE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "0158065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.