Individual provider Active NPI

Andrew D Wan, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1982049888
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
282114 Issued in NY
Practice address
127 S Broadway
Yonkers, NY 10701-4006
Phone
(914) 378-7000
NPI assigned
May 6, 2013
Last updated
Sep 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 282114 NY Primary
Family Medicine Physician 207Q00000X 057018 CT

Addresses

Primary practice location

127 S Broadway
Yonkers, NY 10701-4006

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, FL3 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
I20160121001142 NY Practitioner - Family PracticePractitioner - Hospitalist 3375846546 Reassigns benefits to 3 organizations
I20171002000258 CT Practitioner - Family Practice 3375846546 Reassigns benefits to 1 organization
I20220131002203 FL Practitioner - Family Practice 3375846546

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057018CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Nov 21, 2018 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Nov 21, 2018 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Feb 1, 2017 Accepting new patients
The Westchester Medical Group PC CurrentSince Sep 18, 2017 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Sep 18, 2017 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

2700 Westchester Ave
Fl 2
Purchase, NY 10577

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

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

Interoperability endpoints

  • Direct secure messaging: andrew.wan.1@21260.direct.athenahealth.com
  • Direct secure messaging: andrew.wan@sjmppc.eclinicaldirectplus.com
  • Direct secure messaging: awan@hiemail.healtheconnections.org

Organizations & group practices 5

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1982049888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "282114",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "057018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.