Individual provider Active NPI

Andrew H Eichenfield, M.D.

  • Pediatric Rheumatology Physician
  • New Square, NY
National Provider Identifier
1821061490
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
144443 Issued in NY
Practice address
728 N Main St
New Square, NY 10977-8916
Phone
(845) 356-3610
NPI assigned
Feb 13, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 144443 NY Primary

Addresses

Primary practice location

728 N Main St
New Square, NY 10977-8916

Mailing address

402 E 90TH St Apt 6a
New York, NY 10128-5136
Phone (212) 289-0359

Other identifiers 1

IdentifierTypeStateIssuer
01151880MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051104000117 NY Practitioner - RheumatologyPractitioner - Pediatric Medicine 7719905157 Reassigns benefits to 1 organization
I20211111001278 WA Practitioner - Pediatric Medicine 7719905157 Reassigns benefits to 1 organization
I20240106000293 NY Practitioner - Pediatric Medicine 7719905157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144443NYMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Multicare Health System CurrentSince Aug 27, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Multicare Health System CurrentSince Aug 27, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Refuah Health Center Inc CurrentSince Jul 15, 2014 Accepting new patients
Albany Medical College Pediatric Rheumatology CurrentSince Nov 15, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 15, 2014 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aeichenfield24264@albanymed.direct-ci.com
  • Direct secure messaging: aeichenfield592850@direct.multicare.org
  • Direct secure messaging: andrew.eichenfield@rhcnys.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1821061490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E 90TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285136",
            "telephone_number": "212-289-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109778916",
            "telephone_number": "845-356-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENFIELD",
        "first_name": "ANDREW",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NY",
            "license": "144443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01151880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Square, NY

Sources for this page

Verify at the official NPI Registry.