Individual provider Active NPI

Seth A Adelman, M.D.

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1285696765
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
146591 Issued in NY
Practice address
1050 Forest Hill Rd
George Jervis Clinic
Staten Island, NY 10314-6356
Phone
(718) 494-5180
Fax
(718) 494-2258
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 146591 NY Primary

Addresses

Primary practice location

1050 Forest Hill Rd
George Jervis Clinic
Staten Island, NY 10314-6356

Mailing address

1050 Forest Hill Rd
George Jervis Clinic
Staten Island, NY 10314-6356
Phone (718) 494-5180

Other identifiers 1

IdentifierTypeStateIssuer
01546496MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146591NYMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1285696765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FOREST HILL RD",
            "address_2": "GEORGE JERVIS CLINIC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146356",
            "telephone_number": "718-494-5180",
            "fax_number": "718-494-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FOREST HILL RD",
            "address_2": "GEORGE JERVIS CLINIC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146356",
            "telephone_number": "718-494-5180",
            "fax_number": "718-494-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "SETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "146591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01546496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.