Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandre Gennadievich Andrianov, MD

Individual provider Internal Medicine Physician · NPI 1467441774

Alexandre Gennadievich Andrianov, MD is an Internal Medicine in Babylon, New York. Qualified in 1998, 28 years ago. Practices with Modern Family Medicine PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 W Main St Ste 350
Babylon, NY 11702-3025
Phone: (631) 517-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 270960 (NY)

Record details

NPI number1467441774
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Modern Family Medicine Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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