Active NPI
Connie Andujar
- Athletic Trainer
- West Point, NY
National Provider Identifier
1861020844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003632-1
- Practice address
- 639 Howard Rd
West Point, NY 10996-1510 - Phone
- (845) 938-4018
- NPI assigned
- Mar 27, 2020
- Last updated
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003632-1 | NY | Primary |
Addresses
Primary practice location
639 Howard Rd
West Point, NY 10996-1510
Mailing address
12 1St Ave
Ossining, NY 10562-2806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | connie.andujar@westpoint.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003632-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1861020844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 1ST AVE",
"city": "OSSINING",
"state": "NY",
"postal_code": "105622806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 HOWARD RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961510",
"telephone_number": "845-938-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDUJAR",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003632-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "connie.andujar@westpoint.edu",
"affiliation": "N",
"address_1": "639 Howard Rd",
"city": "West Point",
"state": "NY",
"country_code": "US",
"postal_code": "109961510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.