DR. ANDRE ARMAND FEDIDA M.D.
NPI 1891839312
Internal Medicine - Gastroenterology in Newark, NJ

Q: What is Andre Fedida's NPI number?

The NPI number for Andre Fedida is 1891839312. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Q: What is Andre Fedida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Andre Fedida was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 17, 2007PECOS EnrolledAccepts Medicare Assignment

97.45/100

CMS Quality Rating

306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR, NEWARK, NJ 07102(973) 877-2580(973) 877-2578 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Andre Armand Fedida M.d. NPPES

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

DR. ANDRE ARMAND FEDIDA M.D. (NPI 1891839312) is an individual gastroenterology provider in Newark, New Jersey, licensed in New Jersey (MA054073) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1891839312

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ANDRE ARMAND FEDIDACredential: M.D.

Location Address306 MARTIN LUTHER KING JR BLVD, 4TH FLOORNewark, NJ 07102-2011

Mailing Address306 Martin Luther King Jr Blvd, 4th FloorNewark, NJ 07102-2011 · (973) 877-2580 · Fax (973) 877-2578

Phone(973) 877-2580

Fax(973) 877-2578

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateFebruary 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891839312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA054073

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

306 MARTIN LUTHER KING JR BLVD, Newark, NJ 07102

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Other Identifiers 3

Medicare UPINE83383NJ

Medicare ID-Type Unspecified668528NJ

Medicaid5049504NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andre Armand Fedida M.d. 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 ID3375682297

PECOS Enrollment IDI20100212000204

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

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

Central Avenue Professional Services, PC

0.1 mi

Critical Care Medicine

111 CENTRAL AVE
Newark, NJ 07102

Reassigned Medicare billing, New Jersey enrollment
112 clinicians in this Medicare group

NPI 1447649694 (973) 877-5300

Allied Digestive Health, LLC

33 mi

Gastroenterology

187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764

Reassigned Medicare billing, New Jersey enrollment
406 clinicians in this Medicare group

NPI 1265831259 (732) 222-3805

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

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

338 services181 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

248 services52 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

223 services25 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

76 services71 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

54 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

54 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

29 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310096

Location111 Central AvenueNewark, NJ 07102 · Essex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

92%262 patients5/55-star benchmark: 88%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%53 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

82%589 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

82%384 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 24% · 101 patients

24%101 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75%67 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 138 patients

Patients totalRate: 0% · 138 patients

0%138 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

GI SERVICES

Internal Medicine (Gastroenterology)

306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR
NEWARK, NJ 07102

Essex County (973) 877-2580

JENNIFER BROWN MD PC

Internal Medicine (Gastroenterology)

306 MARTIN LUTHER KING JR BLVD, FLOOR 4
NEWARK, NJ 07102

Essex County (973) 877-2580

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 Andre Fedida's NPI number?

The NPI number for Andre Fedida is 1891839312. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Where is Andre Fedida located?

Andre Fedida practices at 306 Martin Luther King Jr Blvd 4th Floor, Newark, NJ 07102. The listed phone number is (973) 877-2580.

What is Andre Fedida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Andre Fedida enrolled in Medicare?

Yes. Andre Fedida 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.

Which organizations bill Medicare for Andre Fedida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Fedida reassigns Medicare benefits to 2 organizations: Central Avenue Professional Services, PC (Newark, NJ) and Allied Digestive Health, LLC (West Long Beach, NJ). 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 Andre Fedida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Fedida accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Andre Fedida as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andre Fedida affiliated with any hospitals?

According to CMS data, Andre Fedida is affiliated with Clara Maass Medical Center and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Andre Fedida was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.