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Deactivated NPI 1104859784 Deactivated / Inactive NPI Male Practitioner

Dr. Andrew Citron , MD

Specialist • Holmdel, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrew Citron has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2006
NPI Deactivation Date October 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Citron, MD was a registered Specialist practicing in Holmdel, NJ. Throughout an active medical career spanning 17 years, Dr. Citron provided care at the practice location at 727 N BEERS ST until profile deactivation on 2023-10-25.

Historical Medicare Part B clinical services included anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

727 N Beers St

Holmdel, NJ 077331514

Telephone 2013421205
Fax 2013421359
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Holmdel, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.7 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Holmdel, NJ (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope
16 16 $1587.38 $139.23
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
13 13 $1819.62 $155.95

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA06050900

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003831363

Doctor of Medicine (M.D.)

NPI 1083716104

Doctor of Medicine (M.D.)

NPI 1184709974

Doctor of Medicine (M.D.)

NPI 1346325131

Doctor of Medicine (M.D.)

NPI 1376657205

Doctor of Medicine (M.D.)

NPI 1386729341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 727 N BEERS ST, HOLMDEL, NJ 077331514 (Tel: 2013421205)

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Updated Business Mailing Address July 08, 2007

Registered at 180 MAIN ST, HACKENSACK, NJ 076017125 (Tel: 2013421205)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREW CITRON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25MA06050900 in NJ)

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Initial NPI Registration & Enumeration July 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104859784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2006
Last Update: July 08, 2007
Deactivation Date: October 25, 2023

Mailing Address

180 Main St

Hackensack, NJ 076017125

Phone: 2013421205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.