Aviva Louise Andreen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

047965 Issued in NY

Practice address

1273 North Ave
BLDG 3 Apt 4A5
New Rochelle, NY 10804-2702

Phone

(646) 245-3790

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1831180512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 NORTH AVE",
            "address_2": "BLDG 3 APT 4A5",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042702",
            "telephone_number": "646-245-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 NORTH AVE",
            "address_2": "BLDG 3 APT 4A5",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042702",
            "telephone_number": "646-245-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREEN",
        "first_name": "AVIVA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI2246300",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Jean Anderson
• Gilda Anderson
• Melisa Anderson, M.S.
• Emmy Joanna Andrade, LMHC
• Frankys Andrade
• Andrew C. Klein Physical Therapy, P.C.
• Dennis Andrews, LMSW, CASAC
• Stephanie Linette Andrews, LMSW
• Mikaela Elizabeth Anglin, LMFT
• Adaora M Anih, LPN

• Dentist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.