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ANDRADE MEDICAL PLLC
NPI 1801123617
Clinic/Center - Multi-Specialty in Bronx, NY

Active since November 16, 2009CLIA 33D2289857 · Waiver
1163 MANOR AVE FRNT 2, BRONX, NY 10472(718) 589-3501(718) 589-1012 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2023, Oct 16, 2023 (2 updates tracked since 2023).

About Andrade Medical Pllc NPPES

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

ANDRADE MEDICAL PLLC (NPI 1801123617) is a healthcare organization registered as a multi-specialty in Bronx, New York and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David Jacob, Cred Manager, as its authorized official.

NPPES Registry Identity

NPI1801123617
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameANDRADE MEDICAL PLLC
Location Address1163 MANOR AVE FRNT 2Bronx, NY 10472-3972
Mailing Address1163 Manor Ave Frnt 2Bronx, NY 10472-3972 · (718) 589-3501 · Fax (718) 589-1012
Phone(718) 589-3501
Fax(718) 589-1012
Organization SubpartNo
Authorized OfficialDavid JacobCred Manager · (347) 650-2775
Enumeration DateNovember 16, 2009
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1801123617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1163 MANOR AVE FRNT 2, Bronx, NY 10472
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2289857

Andrade Medical PLLC · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2289857
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Abdalla I. Adam
Laboratory Phone(718) 589-3501
Laboratory LocationAndrade Medical PLLC1163 Manor Ave - 2nd Floor, Bronx, NY 10472
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is ANDRADE MEDICAL PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1801123617, enumerated as an "organization" on November 16, 2009.

Where is the provider located?

The provider is located at 1163 MANOR AVE FRNT 2 BRONX, NY 10472 and the phone number is (718) 589-3501.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.