ANDREA RADOSSI DO
NPI 1164164802
Internal Medicine in Hackensack, NJ

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVENUE, 4 MAIN, HACKENSACK, NJ 07601(551) 996-4466(551) 996-0969 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2026, Jun 11, 2025, Apr 12, 2022 (3 updates tracked since 2022).

About Andrea Radossi Do NPPES

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

ANDREA RADOSSI DO (NPI 1164164802) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MB12642000) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1164164802
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA RADOSSICredential: DO
Location Address30 PROSPECT AVENUE, 4 MAINHackensack, NJ 07601
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-4466
Fax(551) 996-0969
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2022
Enumeration DateApril 12, 2022
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1164164802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MB12642000
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 PROSPECT AVENUE, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Radossi Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123401163
PECOS Enrollment IDI20251010002091
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

Nurse Practitioner (Family)
30 PROSPECT AVENUE, HUMC, PAIN & PALLIATIVE MEDICINE INSTITUTE
HACKENSACK, NJ 07601
Student in an Organized Health Care Education/Training Program
30 PROSPECT AVENUE, HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK, NJ 07601
Social Worker
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Dentist
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Pediatrics (Pediatric Endocrinology)
30 PROSPECT AVENUE, PC251
HACKENSACK, NJ 07601
Pediatrics (Pediatric Infectious Diseases)
30 PROSPECT AVENUE, WFAN BULIDING, 3RD FLOOR
HACKENSACK, NJ 07601
Pediatrics (Pediatric Rheumatology)
30 PROSPECT AVENUE, 3 WFAN
HACKENSACK, NJ 07601

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 Andrea Radossi's NPI number?

The NPI number for Andrea Radossi is 1164164802. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Andrea Radossi located?

Andrea Radossi practices at 30 Prospect Avenue 4 Main, Hackensack, NJ 07601. The listed phone number is (551) 996-4466.

What is Andrea Radossi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Radossi enrolled in Medicare?

Yes. Andrea Radossi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andrea Radossi affiliated with any hospitals?

According to CMS data, Andrea Radossi is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Radossi was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.