Andrade Medical PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ANDRADE MEDICAL PLLC

Practice address

1163 Manor Ave FRNT 2
Bronx, NY 10472-3972

Phone

(718) 589-3501

Fax

(718) 589-1012

NPI assigned

Nov 16, 2009

Last updated

Dec 8, 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

Mr. David Jacob

Title

Cred Manager

Phone

(347) 650-2775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Abdalla I. Adam, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jamaica, NY
  • NPI 1295885374
  Medicare reassignment NPD
• Arkadiy Abraham Murdakhayev, NP

  • Acute Care Nurse Practitioner
  • Bronx, NY
  • NPI 1003450487
  Medicare reassignment NPD
• Ben Osuala, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1699068965
  Medicare reassignment NPD
• Andrea Andrade, M.D.

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1154740462
  NPD (past)
• Ana Ballen, NP

  • Family Nurse Practitioner
  • Brewster, NY
  • NPI 1073108999
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1801123617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 MANOR AVE FRNT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723972",
            "telephone_number": "718-589-3501",
            "fax_number": "718-589-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 MANOR AVE FRNT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723972",
            "telephone_number": "718-589-3501",
            "fax_number": "718-589-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRADE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CRED MANAGER",
        "authorized_official_telephone_number": "347-650-2775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Andino, LMSW
• Sumera Andleeb, MD
• Lois Andoh-Bissue, M.D.
• Bessie A Andoh-Santana, LPN
• Nicolette Andolfo, PHARM.D.
• Andrea Andrade, M.D.
• Christopher Andrade, M.D.
• Feb Denise Basa Andrade, OTR/L
• Gloria Andrade, FNP-BC
• Pedro R Andrade, DDS

• Multi-Specialty Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.