Physician Compare National (NPI:1477639292)

HEALTHCARE PROVIDER: ANDREW M PRINCE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477639292
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951576198
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120126000524
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRINCE
	Individual professional last name
Provider First Name	ANDREW
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	334 KINDERKAMACK RD
	Group Practice or individual's line 1 address
City	ORADELL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076492102
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2012659040
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330100
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NY EYE AND EAR INFIRMARY OF MOUNT SINAI
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330119
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LENOX HILL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y