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

Andrew L Peredo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043509227

Andrew L Peredo, MD is a Plastic and Reconstructive Surgery in Huntington, New York. Qualified in 2011, 15 years ago. Practices with Andrew Peredo, MD, PC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
15
Licensed in
CO, NY
In the registry since
2011
Specialties on file
3
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

110 E Main St Ste 6
Huntington, NY 11743-2845
Phone: (631) 424-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • University Of Colorado Plastic & Reconstructive Surgery, Aurora, CO 80045 — (303) 724-2761
  • Stony Brook Medicine Department Of Surgery, Stony Brook, NY 11794-8191 — (631) 444-1791

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 280821-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 280821-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DR.0058741 (CO)

Record details

NPI number1043509227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESJuly 19, 2020
Certification dateJuly 19, 2020

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Andrew Peredo, Md, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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