Healthcare Provider Details

I. General information

NPI: 1497251649
Provider Name (Legal Business Name): ANDRE JOHN SAVADJIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 AMSTERDAM AVE
NEW YORK NY
10025-1716
US

IV. Provider business mailing address

1111 AMSTERDAM AVE
NEW YORK NY
10025-1716
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-3975
  • Fax: 212-523-3930
Mailing address:
  • Phone: 212-523-3975
  • Fax: 212-523-3930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number25MA12174500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA12174500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: