Andrea D. Pedano, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 008075 L Issued in PA

Legal business name

ANDREA D. PEDANO, D.O., P.C.

Practice address

5458 Ridge Ave
Philadelphia, PA 19128-3732

Phone

(215) 487-1887

Fax

(215) 487-1818

NPI assigned

Apr 2, 2007

Last updated

Oct 27, 2010By 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

Dr. Andrea D Pedano, D.O.NPI 1699725432

Title

Physician, Owner

Phone

(215) 487-1887

Specialties & licenses 1

Addresses

Locations

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.

• Andrea D Pedano, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1699725432
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1801917471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283732",
            "telephone_number": "215-487-1887",
            "fax_number": "215-487-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283732",
            "telephone_number": "215-487-1887",
            "fax_number": "215-487-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA D. PEDANO, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "PEDANO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "215-487-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 008075 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marah Lynn Andrade, PA-C
• Sisira Kumara Andrahennady, M.D.
• Alexandra Andraski, CRNP
• Amy Noelle Andre McNamee, PSYD
• Lisete Andre, FNTP
• Charalambos I Andreadis, MD
• Cathryn Andreanidis
• Andree Collective
• Esther Andreessen, FNP
• Elmira Andreeva, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.