Active NPI
Arie Dadush MD PC
- Primary Care Clinic/Center
- New York, NY
National Provider Identifier
1205697737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ARIE DADUSH MD PC
- Practice address
- 680 W End Ave # 1Aa
New York, NY 10025-6815 - Phone
- (917) 965-2250
- NPI assigned
- Jan 22, 2024
- Last updated
- Jul 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arie Dadush, MD
- Title
- Owner
- Phone
- (646) 351-4400
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
680 W End Ave # 1Aa
New York, NY 10025-6815
Mailing address
7 Noel LN
Jericho, NY 11753-1311
Other practice location 1
7 Noel Ln
Jericho, NY 11753-1311
Phone (646) 351-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- New York, NY
- NPI 1861735359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1205697737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NOEL LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 W END AVE # 1AA",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256815",
"telephone_number": "917-965-2250"
}
],
"practiceLocations": [
{
"address_1": "7 Noel Ln",
"address_purpose": "LOCATION",
"city": "Jericho",
"state": "NY",
"postal_code": "117531311",
"country_code": "US",
"telephone_number": "646-351-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARIE DADUSH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "DADUSH",
"authorized_official_first_name": "ARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-351-4400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.