Individual provider Active NPI

Adam Small, MD

  • Adult Congenital Heart Disease Physician
  • New York, NY
National Provider Identifier
1275827420
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Congenital Heart Disease PhysicianTaxonomy code 207RA0002X
License
303556 Issued in NY
Practice address
530 1St Ave # 9N
New York, NY 10016-6402
Phone
(646) 501-0647
Fax
(212) 263-7908
NPI assigned
Jun 6, 2011
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD452108 PA
Internal Medicine Physician 207R00000X MT199303 PA
Cardiovascular Disease Physician 207RC0000X 303556 NY
Pediatrics Physician 208000000X MT199303 PA
Adult Congenital Heart Disease Physician 207RA0002X 25MA11668700 NJ
Adult Congenital Heart Disease Physician 207RA0002X 303556 NY Primary

Addresses

Primary practice location

530 1St Ave # 9N
New York, NY 10016-6402

Mailing address

530 1St Ave # 9N
New York, NY 10016-6402
Phone (646) 501-0647

Other practice location 1

650 Charles E Young Dr S
A2-237 CHS, MC: 167917, UCLA Cardiology,c/o S Takahashi
Los Angeles, CA 90095-8347
Phone (410) 241-5349

Other practice location 2

111 Madison Ave Ste 301
Morristown, NJ 07960-6083
Phone (973) 971-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asmall371248@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200610002482 NY Practitioner - Cardiovascular Disease (Cardiology) 6204257645 Reassigns benefits to 2 organizations
I20240111004090 NJ Practitioner - Adult Congenital Heart Disease (Achd)Practitioner - Cardiovascular Disease (Cardiology) 6204257645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Madison Ave
Morristown, NJ 07960-6097
Phone (973) 971-6898

297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377

400 E 34TH St
New York, NY 10016-4901
Phone (212) 263-7300

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD452108PAMDInternal Medicine Physician
25MA11668700NJMDAdult Congenital Heart Disease Physician
303556NYMDCardiovascular Disease Physician
MT199303PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Nov 28, 2023 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

111 Madison Ave
Ste 301
Morristown, NJ 07960
Phone (973) 267-1197

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

530 1st Ave
#9N
New York, NY 10016
Phone (212) 263-3095

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: asmall1453512@nychhc.direct-ci.com
  • Direct secure messaging: asmall371248@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1275827420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE # 9N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-501-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE # 9N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-501-0647",
            "fax_number": "212-263-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Charles E Young Dr S",
            "address_2": "A2-237 CHS, MC: 167917, UCLA Cardiology,c/o S Takahashi",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958347",
            "country_code": "US",
            "telephone_number": "410-241-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Madison Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606083",
            "country_code": "US",
            "telephone_number": "973-971-8900",
            "fax_number": "973-898-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD452108",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT199303",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "303556",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT199303",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "NJ",
            "license": "25MA11668700",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "NY",
            "license": "303556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmall371248@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "650 Charles E Young Dr S",
            "address_2": "A2-237 CHS, MC: 167917, UCLA Cardiology,c/o S Takahashi",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900958347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.