Individual provider Active NPI

Al Adams

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1134528979
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006661 Issued in NY
Practice address
1576 Flatbush Ave
Brooklyn, NY 11210-3046
Phone
(262) 496-0503
NPI assigned
Aug 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006661 NY Primary

Addresses

Primary practice location

1576 Flatbush Ave
Brooklyn, NY 11210-3046

Mailing address

470 Ocean Ave Apt LF1
Brooklyn, NY 11226-2820
Phone (262) 496-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141217001479 NY Practitioner - Podiatry 6507189800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Medical Family Practice, P.C.Group PAC ID 4082989645, 18 clinicians
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

16814 Jamaica Ave
Jamaica, NY 11432-5216
Phone (718) 650-5553

260 Ave X
Brooklyn, NY 11223-5940
Phone (718) 336-8855

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of nail tissue306
Removal or shaving of skin growth210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006661NYMDRegistered Dietitian

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Kings Medical Family Practice PC CurrentSince Aug 2, 2017 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jul 24, 2017 Accepting new patients
Suny Downstate Medical Center PastSince Jul 24, 2017 Accepting new patients
Dr Al Adams DPM LLC Past Accepting new patients

Locations

1771 Utica Ave
Brooklyn, NY 11234
Phone (718) 209-0888

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

9525 Church Ave
Brooklyn, NY 11212
Phone (718) 513-6178

4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1134528979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 OCEAN AVE APT LF1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262820",
            "telephone_number": "262-496-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103046",
            "telephone_number": "262-496-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "AL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.