Individual provider Active NPI

Andrew Pfleger, PA-C

  • Physician Assistant
  • Morristown, NJ
National Provider Identifier
1790221125
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00420400 Issued in NJ
Practice address
160 E Hanover Ave Ste 201
Morristown, NJ 07960-3150
Phone
(973) 538-0900
Fax
(973) 538-0909
NPI assigned
Jan 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00420400 NJ
Physician Assistant 363A00000X 25MP00420400 NJ Primary

Addresses

Primary practice location

160 E Hanover Ave Ste 201
Morristown, NJ 07960-3150

Mailing address

107 Forest Lake Dr N
Byram Township, NJ 07821-4017
Phone (908) 399-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170221001161 NJ Practitioner - Physician Assistant 4082998901 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00420400NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Sports Medicine & Orthopedic Center, LLC CurrentSince Jan 9, 2016 Accepting new patients

Locations

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

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.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1790221125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FOREST LAKE DR N",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078214017",
            "telephone_number": "908-399-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HANOVER AVE STE 201",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603150",
            "telephone_number": "973-538-0900",
            "fax_number": "973-538-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLEGER",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00420400",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00420400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.