Active NPIIndividual providerSole proprietor

Lori M D'Andrea, PA

Physician Assistant in Millburn, New Jersey

NPI Number1639299118
Practice location
194 Main St, Millburn, NJ 07041-1144
Fax
973-467-1422
Last updated
April 17, 2026

Lori Michelle D'Andrea is a Physician Assistant based in Millburn, NJ. Lori Michelle D'Andrea practices in Millburn, NJ and has the professional credentials of PA. The NPI Number for Lori Michelle D'Andrea is 1639299118 and holds a License No. 25MP00163300 (NJ). The current practice location address for Lori Michelle D'Andrea is 194 Main St, Millburn, NJ 07041-1144 and can be reached out via phone at 973-467-1466 and via fax at 973-467-1422.

Provider Profile Details

NPI Number
1639299118
Provider Name
Lori Michelle D'Andrea
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
194 Main St, Millburn, NJ 07041-1144
Phone Number
973-467-1466
Fax Number
973-467-1422
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2007
Last Update Date
April 17, 2026
Certification Date
April 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 Main St
Millburn, NJ 07041-1144
Zip
07041-1144
Phone Number
973-467-1466
Fax Number
973-467-1422
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
194 Main St
Millburn, NJ 07041-1144
City
Millburn
State
NJ
Zip
07041-1144
Phone Number
973-467-1466
Fax Number
973-467-1422

License Information

License Number
25MP00163300
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lori M D'Andrea, PA?

The NPI number of Lori M D'Andrea, PA is 1639299118. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Lori M D'Andrea, PA?

Lori M D'Andrea, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00163300.

Where does Lori M D'Andrea, PA practice?

The practice location is 194 Main St, Millburn, NJ 07041-1144. The office can be reached at 973-467-1466 (phone) or 973-467-1422 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639299118 directly on the NPPES registry website.

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