Joseph R Andrade MD PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

166744 Issued in NY

Legal business name

JOSEPH R ANDRADE MD PC

Practice address

1163 Manor Ave
1423 Wythe PL
Bronx, NY 10472-3901

Phone

(718) 589-3501

Fax

(718) 589-1012

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ricardo Andrade Sr., M.D

Title

Physician

Phone

(718) 589-3501

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1992715585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FOX MEADOW RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832301",
            "telephone_number": "718-589-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 MANOR AVE",
            "address_2": "1423 WYTHE PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723901",
            "telephone_number": "718-589-3501",
            "fax_number": "718-589-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R ANDRADE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-589-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166744",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "166744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1C3448",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762454",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0009180",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0376636",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P430471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph G. Feghali, M.D., P.C.
• Joseph Kramer Inc
• Joseph Landisi
• Joseph M Ragosta DDS PC
• Joseph M. Di Lullo, MD, P.C.
• Taiesha Joseph-Abrams
• Alison Judi Joseph-Allen
• Kimberly Joseph-Persaud
• Aisha Joseph
• Ancy Joseph

• Pediatric Adolescent Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.