Active NPI
Marc T Adelberg, D.D.S.
- Pediatric Dentistry
- Nesconset, NY
National Provider Identifier
1205014792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0474231
- Practice address
- 62 Lake Ave S
Suite a
Nesconset, NY 11767-1094 - Phone
- (631) 360-7337
- Fax
- (631) 360-3815
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0474231 | NY | Primary |
Addresses
Primary practice location
62 Lake Ave S
Suite a
Nesconset, NY 11767-1094
Mailing address
62 Lake Ave S
Suite a
Nesconset, NY 11767-1094
Phone (631) 360-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0474231 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adampostel DMD PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Northport, NY
- NPI 1679237440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1205014792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 LAKE AVE S",
"address_2": "SUITE A",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671094",
"telephone_number": "631-360-7337",
"fax_number": "631-360-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 LAKE AVE S",
"address_2": "SUITE A",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671094",
"telephone_number": "631-360-7337",
"fax_number": "631-360-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELBERG",
"first_name": "MARC",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "0474231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.