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

Mr. Ade'hmar Jediah Deandres, NP

Individual provider Case Management Registered Nurse · NPI 1093659351

Mr. Ade'hmar Jediah Deandres, NP is a Nurse Practitioner in Bronx, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2026
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

174 Mount Eden Pkwy
Bronx, NY 10457-7605
Phone: (718) 885-6593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 359403 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 4243062 (NY)

Record details

NPI number1093659351
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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