Andie Paige Spadaccini

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

032435 Issued in NY

Practice address

135 Mineola Blvd
Mineola, NY 11501-3917

Phone

(917) 310-3371

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

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

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.

• Hicksville Family Medical Care, PLLC

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792
  Medicare reassignment Care Compare group
• Statcare Urgent & Walk in Medical Care PLLC

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  Medicare reassignment
• JPR Urgent Medical Care

  • Urgent Care Clinic/Center
  • Hicksville, NY
  • NPI 1114172848
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1881306512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032910",
            "telephone_number": "917-310-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "917-310-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297494",
            "country_code": "US",
            "telephone_number": "844-692-4692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADACCINI",
        "first_name": "ANDIE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae Song
• Hope Lee Song, DMD, MS
• Kiran Soni
• Lauren Soong, DO
• Gracielle Soares de Souza
• Alana Grace Spadalik
• Lisa Sparacino, PMHNP-BC
• Ira J Spector, MD
• Georgios Spentzouris, MD
• Peter Spiegler, MD

• Physician Assistant in Mineola, NY
• Providers in Mineola, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.