1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. ANDREDI MIGUEL PUMAREJO MEDINA M.D.
NPI 1053001024
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 11, 2023
760 BROADWAY, BROOKLYN, NY 11206(718) 963-5807(718) 963-8752 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, May 11, 2023 (2 updates tracked since 2023).

About Mr. Andredi Miguel Pumarejo Medina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREDI MIGUEL PUMAREJO MEDINA M.D. (NPI 1053001024) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1053001024
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ANDREDI MIGUEL PUMAREJO MEDINACredential: M.D.
Location Address760 BROADWAYBrooklyn, NY 11206
Mailing Address760 BroadwayBrooklyn, NY 11206 · (718) 963-5807 · Fax (718) 963-8752
Phone(718) 963-5807
Fax(718) 963-8752
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1053001024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andredi Pumarejo Medina's NPI number?

The NPI number for Andredi Pumarejo Medina is 1053001024. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Andredi Pumarejo Medina located?

Andredi Pumarejo Medina practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-5807.

What is Andredi Pumarejo Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andredi Pumarejo Medina was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.