Active NPI
Sinan J Abdullah, DDS
- General Practice Dentistry
- Schenectady, NY
National Provider Identifier
1376519892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 045398-1
- Practice address
- 1044 State St
Schenectady, NY 12307-1508 - Phone
- (518) 370-1441
- Fax
- (518) 395-9431
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1396711982
NY
-
- Dental Clinic/Center
- Schenectady, NY
- NPI 1457024218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230301002165 | NY | Practitioner - Dentist | 4880986199 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045398-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schenectady Family Health Services, Inc. | Current | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Current | Accepting new patients |
Locations
1044 State St
Schenectady, NY 12307
Phone (518) 370-1441
600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 045398-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1044 State St
Schenectady, NY 12307-1508
Mailing address
1044 State St
Schenectady, NY 12307-1508
Phone (518) 370-1441
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02995513 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2011.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1376519892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 STATE ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123071508",
"telephone_number": "518-370-1441",
"fax_number": "518-395-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 STATE ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123071508",
"telephone_number": "518-370-1441",
"fax_number": "518-395-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "SINAN",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "045398-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02995513",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.