NPIMap

Organization Active NPI

Adaptation Medical, PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1245367416
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220248 Issued in NY
Legal business name
ADAPTATION MEDICAL, PC
Practice address
3007 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8302
Phone
(718) 714-6995
Fax
(718) 714-9346
NPI assigned
Feb 27, 2007
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Vladimir Onefater, M.D.NPI 1164491890
Title
President
Phone
(718) 714-6995

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 220248 NY Primary
Internal Medicine Physician 207R00000X 215829 NY

Addresses

Primary practice location

3007 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8302

Mailing address

20701 Estates Dr
3Rd Floor
Bayside, NY 11360-1180
Phone (718) 714-6995

Other identifiers 1

IdentifierTypeStateIssuer
02133017MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000471 NY Part B Supplier - Clinic/Group Practice 9537142609 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Adaptation Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1245367416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 ESTATES DR",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601180",
            "telephone_number": "718-714-6995",
            "fax_number": "718-714-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 OCEAN PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358302",
            "telephone_number": "718-714-6995",
            "fax_number": "718-714-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTATION MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "ONEFATER",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-714-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "220248",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02133017",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.

Verify at the official NPI Registry.