DR. ANDREA JILL NEEDLEMAN M.D. NPI 1104905462

NPI Information

  • NPI: 1104905462
  • Provider Name: DR. ANDREA JILL NEEDLEMAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 07D0698332
  • Address: 4 SOUTH POMPERAUG AVE
    WOODBURY, CT
    ZIP 06798
  • Phone: (203) 263-2020

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NPI Details

DR. Andrea Jill Needleman, M.D. is a family medicine in Woodbury, CT with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Andrea Jill Needleman, M.D. NPI is 1104905462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1981

The provider's business location address is:

4 SOUTH POMPERAUG AVE
WOODBURY, CT
ZIP 06798
Phone: (203) 263-2020
Fax: (203) 263-0251

The NPI 1104905462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 07D0698332 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Urinalysis, manual test (HCPCS:81002)
  • Stool analysis for blood, by peroxidase activity (HCPCS:82272)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 6/1/2015.

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
1207Q00000XFamily Medicine27214CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001272145MEDICAIDCONNECTICUT
2B82579MEDICARE UPIN
3080000491MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

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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