Active NPI
Constantine T. Andrew, M.D.
- Vascular Surgery Physician
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 340071
- Practice address
- 9836 Queens Blvd Ste 401
Rego Park, NY 11374-4257 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036177654 | IL | |
| Phlebology Physician | 202K00000X | 036177654 | IL | |
| Surgery Physician | 208600000X | 25MA05096600 | NJ | |
| Phlebology Physician | 202K00000X | 340071 | NY | |
| Vascular Surgery Physician | 2086S0129X | 25MA05096600 | NJ | |
| Vascular Surgery Physician | 2086S0129X | 340071 | NY | Primary |
Addresses
Primary practice location
9836 Queens Blvd Ste 401
Rego Park, NY 11374-4257
Mailing address
3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117
Other practice location 1
2554 W Fabyan Pkwy
Batavia, IL 60510-1572
Phone (856) 428-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5130000 | Medicaid | NJ | |
| 08425972 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Eastern Virginia Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
1105 Laurel Oak Rd
Voorhees, NJ 08043-4312
1600 Haddon Ave
Camden, NJ 08103-3101
1935 Route 70 E
Cherry Hill, NJ 08003-2117
Phone (856) 428-7700
3242 Route 206
Bordentown, NJ 08505-4517
570 Egg Harbor Rd
Sewell, NJ 08080-2359
90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260
Hospital & facility affiliations
- Virtua Home Care at West Jersey
- Virtua Our Lady of Lourdes Hospital
- West Jersey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 18 |
| Leg revascularization (restoring blood flow) | 22 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05096600 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Surgery | Current | Accepting new patients |
| Georgia Uvc Medical LLC | Phlebology | Current | Accepting new patients |
| Illinois Uvc Medical PLLC | Surgery | Current | Accepting new patients |
| Cooper Surgical Associates, PA | Surgery | Current | Accepting new patients |
| New York Medical United PLLC | Surgery | Current | Accepting new patients |
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Georgia Medical United LLC | Vascular Surgery | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
371 E Paces Ferry Rd NE
Ste 630
Atlanta, GA 30305
354 Newnan Crossing Byp
Ste 210
Newnan, GA 30265
1360 Caduceus Way
Ste 101
Watkinsville, GA 30677
Phone (706) 310-7115
2554 W Fabyan Pkwy
Batavia, IL 60510
Phone (630) 757-8120
1259 Rickert Dr
Ste 208
Naperville, IL 60540
Phone (331) 249-4007
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
239 Hurffville Crosskeys Rd
Ste 350A
Sewell, NJ 08080
Phone (856) 589-0300
9836 Queens Blvd
Ste 401
Rego Park, NY 11374
Interoperability endpoints
- candrew17848@directvirtua.org
Organizations & group practices 9
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.
-
- Vascular Surgery Physician
- Rego Park, NY
- NPI 1265121693
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Surgery Physician
- Camden, NJ
- NPI 1649217514
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1871473801
-
- Vascular Surgery Physician
- Oak Lawn, IL
- NPI 1689224719
-
- Urgent Care Clinic/Center
- Cherry Hill, NJ
- NPI 1164972998
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1992754063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9836 QUEENS BLVD STE 401",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744257",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [
{
"address_1": "2554 W Fabyan Pkwy",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "IL",
"postal_code": "605101572",
"country_code": "US",
"telephone_number": "856-428-7700",
"fax_number": "856-325-4196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREW",
"first_name": "CONSTANTINE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036177654",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "IL",
"license": "036177654",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA05096600",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NY",
"license": "340071",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA05096600",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "340071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5130000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08425972",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.