MICHAEL P. ANDRONICO, PH.D., P.C.
NPI 1053566000
Psychologist in Somerset, NJ

Active since November 18, 2008
107 CEDAR GROVE LN, SUITE 103 G, SOMERSET, NJ 08873(732) 564-9500(732) 564-9501 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael P. Andronico, Ph.d., P.c. NPPES

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

MICHAEL P. ANDRONICO, PH.D., P.C. (NPI 1053566000) is a healthcare organization registered as a psychologist in Somerset, New Jersey and active in the NPI registry since November 2008. The organization lists Michael P. Andronico, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1053566000
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMICHAEL P. ANDRONICO, PH.D., P.C.
Location Address107 CEDAR GROVE LN, SUITE 103 GSomerset, NJ 08873-4719
Mailing Address107 Cedar Grove Ln, Suite 103 GSomerset, NJ 08873-4719 · (732) 564-9500 · Fax (732) 564-9501
Fax(732) 564-9501
Organization SubpartNo
Authorized OfficialMichael P. AndronicoPsychologist · (732) 564-9500
Enumeration DateNovember 18, 2008
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1053566000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NJ · 35S100065500
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 35S100065500 (NJ)
107 CEDAR GROVE LN, Somerset, NJ 08873

Other Identifiers 2

Medicare PIN168859SX2NJ
Medicare PIN081177

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael P. Andronico, Ph.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040811001050Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael P. Andronico, Ph.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1467661645
107 CEDAR GROVE LN SUITE 103-G
Somerset, NJ 08873
(732) 564-9500
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael P. Andronico, Ph.D., P.C.'s NPI number?

The NPI number for Michael P. Andronico, Ph.D., P.C. is 1053566000. It was assigned to this organization in the NPPES registry on November 18, 2008.

Where is Michael P. Andronico, Ph.D., P.C. located?

Michael P. Andronico, Ph.D., P.C. is located at 107 Cedar Grove Ln Suite 103 G, Somerset, NJ 08873. The listed phone number is (732) 564-9500.

What is Michael P. Andronico, Ph.D., P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael P. Andronico, Ph.D., P.C. enrolled in Medicare?

Yes. Michael P. Andronico, Ph.D., P.C. is registered in the Medicare PECOS enrollment system.

When is Michael P. Andronico, Ph.D., P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael P. Andronico, Ph.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Michael P. Andronico, Ph.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael P. Andronico, Ph.D., P.C. was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.