Individual provider Active NPI

Andrea Chica

  • Social Worker
  • Edison, NJ
National Provider Identifier
1871046409
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
12 Waverly Dr E
Edison, NJ 08817-4628
Phone
(732) 841-6928
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

12 Waverly Dr E
Edison, NJ 08817-4628

Mailing address

12 Waverly Dr E
Edison, NJ 08817-4628
Phone (732) 841-6928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427000362 NJ Practitioner - Clinical Social Worker 3971990615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MiddlesexGroup PAC ID 0547165904, 16 clinicians

Practice addresses (Care Compare)

570 Lee St
Perth Amboy, NJ 08861-3053
Phone (980) 442-1666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex CurrentSince Mar 18, 2022 Accepting new patients
County of Middlesex CurrentSince Mar 18, 2022 Accepting new patients

Locations

570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1871046409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WAVERLY DR E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174628",
            "telephone_number": "732-841-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WAVERLY DR E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174628",
            "telephone_number": "732-841-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICA",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.