Active NPI
Andrea Sanclemente, NP
- Women's Health Nurse Practitioner
- Riverhead, NY
National Provider Identifier
1730604646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 421298
- Practice address
- 74 Commerce Ave Ste 1
Riverhead, NY 11901-3105 - Phone
- (631) 727-3422
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 421298 | NY | Primary |
Addresses
Primary practice location
74 Commerce Ave Ste 1
Riverhead, NY 11901-3105
Mailing address
45 Research Way Ste 105
East Setauket, NY 11733-6401
Phone (631) 675-2125
Other practice location 1
183 W Montauk Hwy
Hampton Bays, NY 11946-2305
Phone (631) 723-2225
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Online |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Associates in Obstetrics & Gynecology, University Faculty P | Current | Accepting new patients | |
| Stony Brook Gynecology & Obstetrics, P.C. | Past | Accepting new patients |
Locations
183 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2225
74 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (531) 405-0898
595 Hampton Rd
Southampton, NY 11968
Phone (516) 283-0918
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- andrea.abad@sbcm.cernerdirect.com
Organizations & group practices 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.
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
-
- Obstetrics & Gynecology Physician
- Setauket, NY
- NPI 1770550477
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1730604646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 105",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2125",
"fax_number": "631-675-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 COMMERCE AVE STE 1",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013105",
"telephone_number": "631-727-3422"
}
],
"practiceLocations": [
{
"address_1": "183 W Montauk Hwy",
"address_purpose": "LOCATION",
"city": "Hampton Bays",
"state": "NY",
"postal_code": "119462305",
"country_code": "US",
"telephone_number": "631-723-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCLEMENTE",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "421298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Online",
"affiliation": "N",
"address_1": "183 W Montauk Hwy",
"city": "Hampton Bays",
"state": "NY",
"country_code": "US",
"postal_code": "119462305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.