JOSEPH R ANDRADE MD PC (NPI# 1992715585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992715585 |
| Entity Type | Organization |
| Organization Name | JOSEPH R ANDRADE MD PC |
| Practice Address |
1163 Manor Ave 1423 Wythe Pl Bronx NY 10472-3901 |
| Mailing Address |
131 Fox Meadow Rd Scarsdale NY 10583-2301 |
| Practice Telephone | 7185893501 |
| Practice Fax Number | 7185891012 |
| Mailing Telephone | 7185893501 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | DR. JOSEPH RICARDO ANDRADE SR. (PHYSICIAN) |
| Authorized Official Telephone | 7185893501 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 166744 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
166744 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD | P430471 | 01 |
| NY | GHI | 0009180 | 01 |
| NY | CIGNA | 0376636 | 01 |
| NY | HEALTH NET | 1C3448 | 01 |
| NY | 01762454 | 05 |
| Street Address |
1163 MANOR AVE 1423 WYTHE PL |
| City | BRONX |
| State | NY |
| Zip Code | 10472-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154740462 | Andrea Andrade | Family Medicine | 1163 Manor Ave, Bronx, NY 10472-3967 | 2014-04-15 |
| 1801123617 | Andrade Medical Pllc | Family Medicine | 1163 Manor Ave, Bronx, NY 10472-3967 | 2009-11-16 |
| 1881848422 | Joseph R Andrade | Internal Medicine | 1163 Manor Ave, Bronx, NY 10472-3967 | 2008-11-10 |
| 1689827263 | Marina Torres Ramirez | Dentist | 1163 Manor Ave, Bronx, NY 10472-3967 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1497288641 | Claudia Dongmo | Licensed Practical Nurse | 1129 St Lawrence Ave Apt 1a, Bronx, NY 10472 | 2017-04-05 |
| 1952763310 | Amanda Mohammed | Case Manager/Care Coordinator | 1259 Boynton Ave, Bronx, NY 10472 | 2016-03-24 |
| 1669861928 | Ercilia Lopez | Counselor | 1134 Colgate Ave, Apt 4c, Bronx, NY 10472 | 2015-01-09 |
| 1548681448 | Melissa A Diaz | Occupational Therapist | 1575 East 174th Street Apt 13c, Bronx, NY 10472 | 2013-12-18 |
| 1346670973 | Advanced Diagnostic Services Inc | Physiological Laboratory | 1268 White Plains Road., R # 6 (ground Level Shaikh), Bronx, NY 10472 | 2013-11-18 |
| 1366708497 | Rashida U Adil | Registered Nurse | 1025 Morrison Avenue, Jhs 123, Bronx, NY 10472 | 2012-04-03 |
| 1467699637 | Pharmacy Plus Surgical Supplies Inc | Pharmacy | 1770 D Westchester Ave, Bronx, NY 10472 | 2009-01-09 |
| 1144408006 | Gladys Ramona Torres-ortiz | Psychologist | 1764 Weshchester Ave, Bronx, NY 10472 | 2008-02-03 |
| 1346367505 | Nasser M Tejaratchi | Internal Medicine | 1101 White Plains Road, Ph, Bronx, NY 10472 | 2007-03-23 |
| Find all providers in zip 10472 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891929311 | Divino Nino Pediatrics | Pediatrics | 557 E Fordham Rd, Bronx, NY 10458-5001 | 2009-05-12 |
| 1558524751 | Jennifer I Davis | Pediatrics | 240 E 172nd St, B-100, Bronx, NY 10457-8903 | 2008-07-08 |
| 1104983592 | Cynthia Lewis | Pediatrics | 2737 Third Avenue, Bronx Care, Bronx, NY 10451 | 2007-01-03 |
| 1932282779 | Arthur Hall | Pediatrics | 3018 Colden Ave, Bronx, NY 10469-3946 | 2006-10-23 |
| 1457441487 | Juan Jose Pilarte | Pediatrics | 1001 Grand Concourse Apt 1e, Bronx, NY 10452-9122 | 2006-10-13 |
| 1538256060 | Luis Alberto Rivera | Pediatrics | 1162 Elder Ave, Bronx, NY 10472-3501 | 2006-10-06 |
| 1679660286 | Jose Tomas Aponte Rodriguez | Pediatrics | 1870 Grand Concourse Fl 3, Bronx, NY 10457-5402 | 2006-10-06 |
| 1588670194 | Tatyana Kizelshteyn | Pediatrics | 2134 Barnes Ave, Bronx, NY 10462-1902 | 2006-08-01 |
| 1225044878 | Gerson Gluck | Pediatrics | 1118 Esplanade Ave, Bronx, NY 10461-1210 | 2006-08-01 |
| 1114968708 | Peter A Masella | Pediatrics | 603 E 187th St, Bronx, NY 10458-6700 | 2006-06-08 |
| Find all providers in BRONX | ||||
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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.