1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Nurse Practitioner
  6. NPI Profile

MR. ADE'HMAR JEDIAH DEANDRES NP
NPI 1093659351
Nurse Practitioner - Family in Bronx, NY

Active since April 16, 2026PECOS Enrolled
174 MOUNT EDEN PKWY, BRONX, NY 10457(718) 885-6593 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ade'hmar Jediah Deandres Np NPPES

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

MR. ADE'HMAR JEDIAH DEANDRES NP (NPI 1093659351) is an individual family provider in Bronx, New York, licensed in New York (359403) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093659351
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ADE'HMAR JEDIAH DEANDRESCredential: NP
Location Address174 MOUNT EDEN PKWYBronx, NY 10457-7605
Mailing Address174 Mount Eden PkwyBronx, NY 10457-7605 · (718) 885-6593
Phone(718) 885-6593
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1093659351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 359403
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 4243062 (NY)
174 MOUNT EDEN PKWY, Bronx, NY 10457
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ade'hmar Jediah Deandres Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840764486
PECOS Enrollment IDI20260705000144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ade'hmar Deandres reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC
0.7 mi
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1366418709 (718) 583-7736
Bronx Medical Practice P.C.
3.5 mi
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
NPI 1356726087 (646) 340-1309

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ade'hmar Deandres's NPI number?

The NPI number for Ade'hmar Deandres is 1093659351. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Ade'hmar Deandres located?

Ade'hmar Deandres practices at 174 Mount Eden Pkwy, Bronx, NY 10457. The listed phone number is (718) 885-6593.

What is Ade'hmar Deandres's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ade'hmar Deandres enrolled in Medicare?

Yes. Ade'hmar Deandres is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ade'hmar Deandres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ade'hmar Deandres reassigns Medicare benefits to 2 organizations: Essen Medical Associates, PC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each 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 Ade'hmar Deandres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ade'hmar Deandres was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.