Individual provider Active NPI

Charlene A. Andrews, MD

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1982647129
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235994 Issued in NY
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

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000516 NY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Peripheral Vascular Disease 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 Home health agency, Brooklyn, NY, CCN 337290
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235994-1NYMDFamily Medicine Physician
235994NYMDInternal Medicine Physician

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
Carewell Medical Associates PC Internal Medicine CurrentSince Jan 1, 2014 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

  • FHIR API: https://api.platform.athenahealth.com/9154/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.