| Dr Peter Andrade, DO | |
| 3371 Richmond Ave, Staten Island, NY 10312-2025 | |
| (929) 229-7139 | |
| (929) 229-7139 | 
| Full Name | Dr Peter Andrade | 
|---|---|
| Gender | Male | 
| Speciality | Plastic Surgery | 
| Location | 3371 Richmond Ave, Staten Island, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417287707 | NPI | - | NPPES | 
| 1588246433 | Other | NPI | |
| 1780276816 | Other | NPI | |
| 25MB10124900 | Other | NJ | NJ MEDICAL LICENSE | 
| 12785099 | Other | CAQH | |
| 293510 | Other | NY | NY MED LICENSE | 
| 7430432372 | Other | NRCME | |
| 1417287707 | Other | NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 25MB10124900 (New Jersey) | Secondary | 
| 208200000X | Plastic Surgery | 293510 (New York) | Primary | 
| Entity Name | Amboy Medical Practice, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 | 
| Entity Name | Victory Medical Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013348689 PECOS PAC ID: 7719207836 Enrollment ID: O20150513000948 | 
| Entity Name | Andrade Medical Ny Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588246433 PECOS PAC ID: 1153854781 Enrollment ID: O20241104002292 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Peter Andrade, DO 265 Water St Apt 4, New York, NY 10038-1718 Ph: (954) 234-3811 | Dr Peter Andrade, DO 3371 Richmond Ave, Staten Island, NY 10312-2025 Ph: (929) 229-7139 | 
| Dr. Michael Cooper, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Seaview Ave, Staten Island, NY 10305 Phone: 781-226-6988 | |
| Dr. Robert V Vitolo, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1510 Richmond Rd, Staten Island, NY 10304 Phone: 718-667-0890 Fax: 718-667-0463 | |
| Dr. Alan Cherofsky, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4546 Hylan Blvd, Staten Island, NY 10312 Phone: 718-967-3300 Fax: 718-967-1882 | |
| Dr. Raghava Raju, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2131 Richmond Road, Staten Island, NY 10306 Phone: 718-979-5553 Fax: 718-979-5407 | |
| Dr. Keith Spencer Berman, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1055 Hylan Blvd, Staten Island, NY 10305 Phone: 718-351-0654 Fax: 718-351-7108 | |
| Dr. Louis C Cutolo Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1557 Victory Boulevard, Staten Island, NY 10314 Phone: 718-720-9400 Fax: 718-556-1201 | |
| Igor Burko,  Plastic Surgery Medicare: Medicare Enrolled Practice Location: 20 Father Capodanno Blvd Apt 6h, Staten Island, NY 10305 Phone: 347-816-0253 |