# ALIVE HEALTHCARE & MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326484478
- **Authorized official:** DR. JAMIE ANDRE MD (CEO)
- **Authorized official phone:** (347) 392-7208

## Contact information

- **Practice address:** 152 N OCEAN AVE, PATCHOGUE, NY 11772-2004
- **Practice address phone:** (347) 392-7208
- **Mailing address:** 11 ALYSSUM AVE, HUNTINGTON, NY 11743-5606
- **Mailing address phone:** (347) 392-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |

## Other

- **Enumeration date:** 05/16/2013
- **Last updated:** 05/21/2013