MR. ADE'HMAR JEDIAH DEANDRES NP NPI 1093659351

NPI Information

  • NPI: 1093659351
  • Provider Name: MR. ADE'HMAR JEDIAH DEANDRES, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 174 MOUNT EDEN PKWY
    BRONX, NY
    ZIP 10457
  • Phone: (718) 885-6593

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NPI Details

MR. Ade'hmar Jediah Deandres, NP is a family nurse practitioner in Bronx, NY. MR. Ade'hmar Jediah Deandres, NP NPI is 1093659351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

174 MOUNT EDEN PKWY
BRONX, NY
ZIP 10457-605
Phone: (718) 885-6593

The enumeration date for this NPI number is 4/16/2026 and was last updated on 4/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management4243062NEW YORKNo
2363LF0000XNurse PractitionerFamily359403NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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