Active NPI
Andrea L Fry, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1780717868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 335145
- Practice address
- 160 E 34TH St
3Rd Floor
New York, NY 10016 - Phone
- (212) 731-6699
- Fax
- (212) 731-6051
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | F335145 | NY | |
| Family Nurse Practitioner | 363LF0000X | 335145 | NY | Primary |
Addresses
Primary practice location
160 E 34TH St
3Rd Floor
New York, NY 10016
Mailing address
160 E 34TH St
3Rd Floor
New York, NY 10016-4744
Phone (212) 731-6699
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F335145 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mskcc Surgery Group | Current | Accepting new patients | |
| Memorial Medical Consultation Group | Current | Accepting new patients |
Locations
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
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.
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- New York, NY
- NPI 1053382523
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1780717868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E 34TH ST",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164744",
"telephone_number": "212-731-6699",
"fax_number": "212-731-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E 34TH ST",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-731-6699",
"fax_number": "212-731-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "F335145",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.