MEDICARE: ANDREW NAM, MD, MBA P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1811856032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW NAM, MD, MBA P.C.

Provider Business Mailing Address
First Line	:	600 12TH ST APT 902
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-2085
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 LEMOINE AVE STE 203
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5636
Country	:	US
Telephone Number	:	917-349-3107
Fax Number	:	201-944-8411

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREW NAM
Credential	:	MD
Telephone Number	:	917-349-3107

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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