Individual provider Active NPI

Dale M Abadir, MD

  • Dermatology Physician
  • Rye Brook, NY
National Provider Identifier
1396845798
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
114927 Issued in NY
Practice address
90 S Ridge St
Suite LL3
Rye Brook, NY 10573-2867
Phone
(914) 937-5500
Fax
(914) 937-7678
NPI assigned
Sep 25, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 114927 NY Primary
Procedural Dermatology Physician 207NS0135X 114927 NY

Addresses

Primary practice location

90 S Ridge St
Suite LL3
Rye Brook, NY 10573-2867

Mailing address

90 S Ridge St
Suite LL3
Rye Brook, NY 10573-2867
Phone (914) 937-5500

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000077 NY Practitioner - Dermatology 9133283724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

1 -3 W 125TH St
New York, NY 10027-4524
Phone (212) 246-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions44
Skin biopsy36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114927NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology PC Dermatology CurrentSince Jun 20, 2019 Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients

Locations

1455 West Ave
Bronx, NY 10462
Phone (212) 262-2500

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

13 W 125th St
New York, NY 10027
Phone (212) 246-0848

90 S Ridge St
Ste LL-3
Rye Brook, NY 10573
Phone (914) 937-5500

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

Networks

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

Interoperability endpoints

  • Direct secure messaging: dabadir@advderm.emadirect.md
  • Direct secure messaging: dabadir838861@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1396845798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST",
            "address_2": "SUITE LL3",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-5500",
            "fax_number": "914-937-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST",
            "address_2": "SUITE LL3",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-5500",
            "fax_number": "914-937-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABADIR",
        "first_name": "DALE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "114927",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "114927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.