Active NPI
Charlene A. Andrews, MD
- Internal Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 235994
- Practice address
- 16995 137TH Ave
#19
Jamaica, NY 11434-4517 - Phone
- (718) 528-1503
- Fax
- (718) 528-1501
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 235994 | NY | Primary |
| Family Medicine Physician | 207Q00000X | 235994-1 | NY |
Addresses
Primary practice location
16995 137TH Ave
#19
Jamaica, NY 11434-4517
Mailing address
16995 137TH Ave
#19
Jamaica, NY 11434-4517
Phone (718) 528-1503
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050727000516 | NY | Practitioner - Internal Medicine | 3870521347 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16995 137TH Ave
Jamaica, NY 11434-4517
Phone (646) 831-2671
Hospital & facility affiliations
- Americare Certified Special Services, Inc Chha
- VNS of Ny Home Care Chha
- North Shore Home Care Chha
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235994-1 | NY | MD | Family Medicine Physician |
| 235994 | NY | MD | Internal Medicine Physician |
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carewell Medical Associates PC | Internal Medicine | Current | Accepting new patients |
| Queens Long Island Medical Group, P.C. | Family Medicine | Past | Accepting new patients |
| Middle Village Diagnostic Imaging PC | Past | Accepting new patients |
Locations
16995 137th Ave
Jamaica, NY 11434
Phone (646) 831-2671
16995 137th Ave
#19
Jamaica, NY 11434
Phone (718) 528-1503
16995 137th Ave
#A
Jamaica, NY 11434
16550 Baisley Blvd
Jamaica, NY 11434
Phone (718) 528-1503
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/9154/brand/1/csg/1/fhir/r4
- charlene.andrews.1@9154.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1134544224
Internal Medicine, NY
-
- Diagnostic Radiology Physician
- Rego Park, NY
- NPI 1497771687
-
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1982647129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16995 137TH AVE",
"address_2": "#19",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344517",
"telephone_number": "718-528-1503",
"fax_number": "718-528-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16995 137TH AVE",
"address_2": "#19",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344517",
"telephone_number": "718-528-1503",
"fax_number": "718-528-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "CHARLENE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "235994",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "235994-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.