Charles Irwin Adler, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Jackson Heights, NY
NPI 1316909765 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1316909765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 27366 (NY)
- Practice address
- 3353 82ND St
Jackson Heights, NY 11372-1447 - Phone
- (718) 899-7811
- Fax
- (718) 899-7812
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090818000553 | NY | Practitioner - Dentist |
3971657453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27366 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Oral and Maxillofacial Surgery | Current |
Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 27366 | NY | Yes |
Addresses
Primary practice location
3353 82ND St
Jackson Heights, NY 11372-1447
Mailing address
3353 82ND St
Jackson Heights, NY 11372-1447
Phone (718) 899-7811
Other providers in Jackson Heights, NY
- Access Social Adult Day Care
- Ace Physical Therapy LLC
- Deepti Acharya
- Camilo Dario Achury
- Yessenia Acosta
- Jeffrey Alan Adler
- Victoria Stephanie Adler
- Andrew David Adlerstein
- Marcel Mordechai Admoni
- Adults Medical Care, P.C.
All providers in Jackson Heights, NY · Oral and Maxillofacial Surgery (Dentist) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.