Individual provider Active NPI

Samantha Meredith Adelsberg, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1215118963
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011003 Issued in NY
Practice address
Weill Cornell Medical Center, Dept. of Medicine
525 East 68TH St. Room M-528
New York, NY 10065
Phone
(212) 746-4209
NPI assigned
Nov 23, 2007
Last updated
Nov 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011003 NY Primary

Addresses

Primary practice location

Weill Cornell Medical Center, Dept. of Medicine
525 East 68TH St. Room M-528
New York, NY 10065

Mailing address

Box 130
Weill Cornell Medical Center, Dept. of Medicine
New York, NY 10065
Phone (212) 746-4209

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121002989 NY Practitioner - Physician Assistant 1254562473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 15, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 15, 2020 Accepting new patients

Locations

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

525 E 68th St
Rm M528
New York, NY 10065
Phone (212) 746-4209

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1215118963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 130",
            "address_2": "WEILL CORNELL MEDICAL CENTER, DEPT. OF MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-746-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEILL CORNELL MEDICAL CENTER, DEPT. OF MEDICINE",
            "address_2": "525 EAST 68TH ST. ROOM M-528",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-746-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSBERG",
        "first_name": "SAMANTHA",
        "middle_name": "MEREDITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.