Active NPI
Robert Jerome Andelman, MD
- Anesthesiology Physician
- Portsmouth, NH
National Provider Identifier
1760483960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4995
- Practice address
- 8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436 - Phone
- (603) 422-8208
- Fax
- (603) 422-8218
- NPI assigned
- Aug 10, 2005
- Last updated
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NH4995 | NH | |
| Anesthesiology Physician | 207L00000X | 4995 | NH | Primary |
Addresses
Primary practice location
8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436
Mailing address
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
Other practice location 1
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80000187 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH4995 | NH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1760483960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 GREENLEAF WOODS DR",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015436",
"telephone_number": "603-422-8208",
"fax_number": "603-422-8218"
}
],
"practiceLocations": [
{
"address_1": "333 Borthwick Ave",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038017128",
"country_code": "US",
"telephone_number": "603-436-5110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDELMAN",
"first_name": "ROBERT",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "NH4995",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "4995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000187",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
- Amplify Health Chiropractic & Wellness PLLC
- Amy E. Rosania, DMD, MSCD, PC
- Stephen Eric Ananian, D.M.D.
- Anchor Physical Therapy & Performance PLLC
- Ancient Traditions Natural Medicine, LLC
- Kayla Anderson
- Rachel Marie Anderson, N.D.
- Sarah Anna Anderson, CPM, NHCM
- William Cody Andrews
- James Andriotakis, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.