Adib Alhaddad, MD, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

250517 Issued in NY

Legal business name

ADIB ALHADDAD, MD, PLLC

Practice address

466 Bay Ridge Ave
Brooklyn, NY 11220-5906

Phone

(718) 491-2003

Fax

(718) 491-2007

NPI assigned

Nov 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adib AlhaddadNPI 1124118831

Title

MD

Phone

(917) 470-4378

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adib Alhaddad, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1124118831

  Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1114357050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092919",
            "telephone_number": "917-470-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205906",
            "telephone_number": "718-491-2003",
            "fax_number": "718-491-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIB ALHADDAD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ALHADDAD",
        "authorized_official_first_name": "ADIB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-470-4378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250517",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "250517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebayo Adeyinka, MD
• Rajesh Adhia, D.M.D
• Sugat Adhikari
• Joseph Adia
• Ismaila Oduola Adiatu, MD
• Cherry C Adibe, DPT
• Madonna Ebram Adieb, MS, OTR/L
• Chinyere Adieze
• Ayodola Adigun, MD, MS
• Isis Adigwe, MSE

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.