PETER ANDRADE (NPI# 1417287707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287707 |
| Entity Type | Individual |
| Full Name | PETER ANDRADE |
| Credential | D.O. |
| Practice Address |
375 Mccarter Hwy Newark NJ 07114-2562 |
| Mailing Address |
317 13th St Apt 1 Brooklyn NY 11215-4909 |
| Practice Telephone | 9736438601 |
| Practice Fax Number | 9736438609 |
| Mailing Telephone | 9542343811 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MB10124900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
375 MCCARTER HWY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083732796 | Periphon D Faustino | Physical Therapist | 375 Mccarter Hwy, Newark, NJ 07114 | 2007-03-27 |
| 1730793324 | Shriya M Shah | Physical Therapist | 375 Mccarter Hwy, Newark, NJ 07114-2562 | 2020-09-01 |
| 1255513842 | Svetlana Rozenberg | Physician Assistant | 375 Mccarter Hwy, Newark, NJ 07114-2562 | 2007-12-05 |
| 1316129315 | Irina Burdetsky | Physical Therapist | 375 Mccarter Hwy, Newark, NJ 07114-2562 | 2007-11-30 |
| 1992994784 | Concentra Medical Centers | Clinic/Center | 375 Mccarter Hwy, Newark, NJ 07114-2562 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663869 | Niravkumar M Chauhan | Surgery | 185 S Orange Ave # Msbf508b, Newark, NJ 07103-2757 | 2018-03-21 |
| 1821449604 | Joseph Galloway | Surgery | 140 Bergen Street Acc-d1610, Newark, NJ 07103 | 2016-06-23 |
| 1962844621 | John Daniel Robb | Surgery | 4755 Ogletown Stanton Road Ste 1e50, Ctr for Heart & Vascular Health Christiana Hospital, Newark, DE 19718-2200 | 2013-07-23 |
| 1992083521 | Ioannis Loumiotis | Surgery | 201 Lyons Ave Ste G5, Newark, NJ 07112-2027 | 2011-08-01 |
| 1336434257 | Nicole Goulet | Surgery | 185 S Orange Ave # Msbg514, Newark, NJ 07103-2757 | 2011-06-20 |
| 1366679946 | Adriana I Suarez-ligon | Surgery | 205 South Orange Avenue, F 1214, Newark, NJ 07103 | 2009-06-22 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1306068788 | Melissa Marie Alvarez-downing | Surgery | 90 Bergen St Fl 7, Newark, NJ 07103-2425 | 2007-05-03 |
| 1447305107 | Nikolay Mindadze | Surgery | 4735 Ogletown Stanton Road, Suite 3301, Medical Arts Pavillion 2, Newark, DE 19713-2067 | 2007-01-24 |
| 1639245350 | Howard Reeves | Surgery | 131 Mcmillen Drive, Newark, OH 43055 | 2006-11-27 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.