Individual
DR. PETER ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3371 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(929) 229-7139
(929) 229-7139
Mailing address
265 WATER ST APT 4, NEW YORK, NY 10038-1718
(954) 234-3811
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
293510
NY
208600000X
Surgery Physician
25MB10124900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12785099
CAQH
—
01
—
1417287707
NPI
—
01
—
1588246433
NPI
—
01
—
1780276816
NPI
—
01
—
25MB10124900
NJ MEDICAL LICENSE
NJ
01
—
293510
NY MED LICENSE
NY
01
—
7430432372
NRCME
—
Enumeration date
01/08/2010
Last updated
01/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us