Andrade Plastic & Reconstructive Surgery NJ LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ANDRADE PLASTIC & RECONSTRUCTIVE SURGERY NJ LLC

Practice address

6701 Bergenline Ave
West New York, NJ 07093-1704

Phone

(718) 761-3700

NPI assigned

Feb 10, 2021

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter AndradeNPI 1417287707

Title

President

Phone

(954) 234-3811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Andrade, D.O.

  • Plastic Surgery Physician
  • Staten Island, NY
  • NPI 1417287707
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1780276816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WATER ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931704",
            "telephone_number": "718-761-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRADE PLASTIC & RECONSTRUCTIVE SURGERY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-234-3811"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.