ANDRE SMALL (MD) – Internal Medicine Physician, NPI 1043708969

ANDRE SMALL (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 21645 (NV). The NPI Number for ANDRE SMALL (MD) is 1043708969

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE SMALL (MD)
NPI
1043708969
Phone
Not provided
Address
30 PROSPECT AVE
Enumeration Date
26 April 2018
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7253338400
Graduation Year
2014 (12 years ago)
PAC ID
0840682480
Group Practice PAC ID
6800118522
Professional Enrollment ID
I20220111002946
Address ID
NV890146686HE1389XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for ANDRE SMALL (MD)

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076011915

    Phone:

    Type: Mailing

  • 367 S GULPH RD

    KING OF PRUSSIA, PA 194063121

    Phone: (725) 333-8400

    Fax: (725) 333-8401

    Type: Mailing

  • 1389 GALLERIA DR STE 100

    HENDERSON, NV 890146686

    Phone: (725) 333-8400

    Fax: (725) 333-8401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,935.

Total Amount is formed as General ($1,935) + Research ($0) + Ownership ($0) = $1,935.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($577).

Total Amount

$1,935

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,935

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220111002946IInternal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes582348$0
99214Established patient office or other outpatient visit, 30-39 minutes9790$0
99212Established patient office or other outpatient visit, 10-19 minutes9793$0
99215Established patient office or other outpatient visit, 40-54 minutes4343$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800118522View full group profile
NameSpecialtyState
Family PracticeNV
Internal MedicineNV
Family PracticeNV
General SurgeryNV
Family PracticeNY
Internal MedicineNV
-AZ
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryNV
Internal MedicineWV
G A S T R O E N T E R O L O G YNV

Reviews

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Frequently asked questions

What number should I use to identify ANDRE SMALL (MD) for billing?
Administrative and clinical systems typically use NPI 1043708969 for ANDRE SMALL (MD).
Is ANDRE SMALL (MD) currently accepting referrals based on NPI status?
Registry metadata lists ANDRE SMALL (MD) as active.
Which specialty label fits ANDRE SMALL (MD)?
NPPES ties ANDRE SMALL (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANDRE SMALL (MD) in Hackensack, New Jersey?
For routing, start with Hackensack, New Jersey for ANDRE SMALL (MD), then verify phone and hours locally.
Can I export ANDRE SMALL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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