Individual provider Active NPI

Andrea Quintana, DO

  • Family Medicine Physician
  • Lindenhurst, NY
National Provider Identifier
1750354288
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218009 Issued in NY
Practice address
290 S Wellwood Ave
Lindenhurst, NY 11757-4903
Phone
(631) 225-2999
Fax
(631) 225-2104
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218009 NY Primary

Addresses

Primary practice location

290 S Wellwood Ave
Lindenhurst, NY 11757-4903

Mailing address

290 S Wellwood Ave
Lindenhurst, NY 11757-4903
Phone (631) 225-2999

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
I20040421001836 NY Practitioner - Family PracticePractitioner - Gastroenterology 4587650916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

290 S Wellwood Ave
Lindenhurst, NY 11757-4903
Phone (631) 225-2999

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as individual
Quality
89.7
Improvement activities
40
Cost
76.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Quintana DO PC Family Medicine CurrentSince Oct 29, 2004 Accepting new patients
Ocean Medical Care PC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

290 S Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-2999

21 W Hoffman Ave
Lindenhurst, NY 11757
Phone (516) 225-2999

Organizations & group practices 3

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 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1750354288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574903",
            "telephone_number": "631-225-2999",
            "fax_number": "631-225-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574903",
            "telephone_number": "631-225-2999",
            "fax_number": "631-225-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.