Individual provider Active NPI

Ted James Andrews, PH.D., M.D.

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1720246549
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
282479 Issued in NY
Practice address
1001 Main St FL 2
Buffalo, NY 14203-1009
Phone
(716) 323-2000
NPI assigned
May 29, 2008
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 02466 NY
Clinical Child & Adolescent Psychologist 103TC2200X 012466 NY
Pediatrics Physician 208000000X 282479 NY Primary

Addresses

Primary practice location

1001 Main St FL 2
Buffalo, NY 14203-1009

Mailing address

112 Bondcroft Drive
Amherst, NY 14226
Phone (716) 480-4673

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
I20160406001672 NY Practitioner - Pediatric Medicine 3173691334 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02466NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Erie Mental Health Services Inc CurrentSince Feb 1, 2018 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Baker Victory Healthcare Center CurrentSince Apr 13, 2025 Accepting new patients
Kaleida Health CurrentSince Aug 17, 2019 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Aug 17, 2019 Accepting new patients
Pediatric Psychology & Medicine of Western New York, PLLC Clinical Child & Adolescent Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

790 Ridge Rd
Lackawanna, NY 14218
Phone (716) 828-9334

790 Ridge Rd
Fl 2
Lackawanna, NY 14218
Phone (716) 828-7586

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1720246549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BONDCROFT DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-480-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST FL 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "TED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "02466",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "012466",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "282479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.