Active NPI
Fran E Adler, MD
- Pediatric Adolescent Medicine Physician
- Montclair, NJ
National Provider Identifier
1356844740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 25MA04665000
- Practice address
- 33 Plymouth St Ste 301
Montclair, NJ 07042-2677 - Phone
- (973) 746-6492
- NPI assigned
- Mar 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 25MA04665000 | NJ | Primary |
Addresses
Primary practice location
33 Plymouth St Ste 301
Montclair, NJ 07042-2677
Mailing address
33 Plymouth St Ste 301
Montclair, NJ 07042-2677
Phone (973) 746-6492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04665000 | NJ | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1356844740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PLYMOUTH ST STE 301",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422677",
"telephone_number": "973-746-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 PLYMOUTH ST STE 301",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422677",
"telephone_number": "973-746-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "FRAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "25MA04665000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.