Jade Andracchi

Physician • Wading River, NY

Deactivated NPI 1891407805 Deactivated in NPPES Female Practitioner

Practice location in NPPES

1503 N Country Rd
Wading River, NY 117921640

Phone: 6319294362

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 06, 2023; the reason is not published. The records below are historical. They do not show whether Jade Andracchi currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 21, 2022

NPI Deactivation Date March 06, 2023

NPI Active Period 2022 – 2023

Practice Location & Contact Primary Location

Practice Address

1503 N Country Rd

Wading River, NY 117921640

Telephone 6319294362

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Wading River Fire District Facility NPI 1255043188

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Wading River and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Ambulance - Land Transport Primary Specialty

NUCC Taxonomy Code: 3416L0300X

License # reported to NPPES NY 0935

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 06, 2023

NPPES lists this NPI as deactivated as of March 06, 2023; the reason is not published.

✅

NPI Profile Active December 21, 2022

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 21, 2022

Registered at 1503 N COUNTRY RD, WADING RIVER, NY 117921640 (Tel: 6319294362)

📍

Business Mailing Address (Initial Record) December 21, 2022

Registered at 1503 N COUNTRY RD, WADING RIVER, NY 117921640 (Tel: 6319294362)

👤

Provider Name / Credentials (Initial Record) December 21, 2022

Recorded as JADE ANDRACCHI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2022

Ambulance (license number reported to NPPES: NY 0935)

🟢

Initial NPI Registration & Enumeration December 21, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1891407805

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 21, 2022

Last Update: December 21, 2022

Deactivation Date: March 06, 2023

Update or Correct Profile

Mailing Address

1503 N Country Rd

Wading River, NY 117921640

Phone: 6319294362

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.