Organization Active NPI

Adam Felline, DMD PLLC

  • Pediatric Dentistry
  • Hauppauge, NY
National Provider Identifier
1144989195
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADAM FELLINE, DMD PLLC
Practice address
801 Motor Pkwy Ste 104
Hauppauge, NY 11788-5256
Phone
(631) 974-5244
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dr. Adam Felline, DMDNPI 1720408990
Title
Ceo
Phone
(646) 270-5152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

801 Motor Pkwy Ste 104
Hauppauge, NY 11788-5256

Mailing address

801 Motor Pkwy Ste 104
Hauppauge, NY 11788-5256
Phone (631) 348-1501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adamfelline@mysecurepractice.com Direct

National Provider Directory

National Provider Directory

Locations

801 Motor Pkwy
Ste 104
Hauppauge, NY 11788
Phone (631) 348-1501

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1144989195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY STE 104",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY STE 104",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-974-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM FELLINE, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "FELLINE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-270-5152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adamfelline@mysecurepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 Motor Pkwy Ste 104",
            "city": "Hauppauge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117885256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.