Andrew Eades

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00643100 Issued in NJ

Practice address

9 Mary LN
Waldwick, NJ 07463-1010

Phone

(201) 739-9320

NPI assigned

May 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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.

• Dynamic Physical Therapy at Home

  • Physical Therapist
  • Northvale, NJ
  • NPI 1396219044

  NJ

  Medicare reassignment Care Compare group NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy at Home 13 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1720643133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARY LN",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631010",
            "telephone_number": "201-739-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MARY LN",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631010",
            "telephone_number": "201-739-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00643100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DYNAMIC PHYSICAL THERAPY",
            "identifier": "271878734",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eadesa@ymail.com",
            "affiliation": "N",
            "address_1": "9 Mary Ln",
            "city": "Waldwick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074631010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eadesa@ymail.com",
            "affiliation": "N",
            "address_1": "9 Mary Ln",
            "city": "Waldwick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074631010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellen R Dolce, MSW
• Mackenzie Payton Donnelly, LCSW
• Beverly Andreana Dunn, MD PHD
• Nancy Dykstra-Powers, LCSW
• Margaret Ann Dziezanowski, MD
• Eastern Christian Children'S Retreat
• Kimberly Ellsworth, PT, DPT
• Hala M Elostaz, R.PH
• Engel Burman Senior Care at Waldwick, LLC
• Robert Erazo

• All providers in Waldwick, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.