Vladimir Andries PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31451 Issued in NY

Legal business name

VLADIMIR ANDRIES PC

Practice address

7256 Route 209
Wawarsing, NY 12489

Phone

(845) 647-5334

Fax

(845) 294-4333

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By 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

Vladimir G Andries, MD

Title

Owner

Phone

(845) 647-5334

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Maurice Alisse, PA-C

  • Physician Assistant
  • Newburgh, NY
  • NPI 1730130386
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780759548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "WAWARSING",
            "state": "NY",
            "postal_code": "124890375",
            "telephone_number": "845-647-5334",
            "fax_number": "845-294-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 ROUTE 209",
            "city": "WAWARSING",
            "state": "NY",
            "postal_code": "12489",
            "telephone_number": "845-647-5334",
            "fax_number": "845-294-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR ANDRIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRIES",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-647-5334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "31451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF SVCS CORP#",
            "identifier": "31451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shante Brady, FNP
• Shelley M Carpenter
• Thomas M Carpenter Jr.
• Comprehensive Ny Professional Medical PLLC (Family Medcare)
• TMC Transportation

• Internal Medicine Physician in Wawarsing, NY
• Providers in Wawarsing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.