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

Individual provider Physician Assistant · NPI 1508098765

Andrea R. Medel, PA is a Physician Assistant in Glen Ridge, New Jersey. Qualified in 2009, 17 years ago. Practices with Garden State Dermatology LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Bay St
Glen Ridge, NJ 07028-1505
Phone: (973) 429-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00221300 (NJ)

Record details

NPI number1508098765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESJuly 2, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Garden State Dermatology Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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