ANDREW GARDNER PA NPI 1710915566

NPI Information

NPI: 1710915566
Provider Name: ANDREW GARDNER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
45 READE PL
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 483-6217
Get Directions

Andrew Gardner, PA is a surgical physician assistant in Poughkeepsie, NY. Andrew Gardner, PA NPI is 1710915566. 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:

45 READE PL
POUGHKEEPSIE, NY
ZIP 12601-947
Phone: (845) 483-6217
Fax: (845) 483-6108

The NPI 1710915566 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 enumeration date for this NPI number is 6/29/2006 and was last updated on 7/8/2007.

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
1	363AS0400X	Physician Assistant	Surgical	003948-1	NEW YORK	Yes

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
1	0F8411	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	R54775	MEDICARE UPIN
3	01551115	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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