Individual provider Active NPI

Daniel J Adler, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1407952104
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
158342 Issued in NY
Practice address
425 E 61St St
4TH Floor
New York, NY 10021-8722
Phone
(212) 826-3903
Fax
(212) 339-9984
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 158342 NY Primary

Addresses

Primary practice location

425 E 61St St
4TH Floor
New York, NY 10021-8722

Mailing address

425 E 61St St
4TH Floor
New York, NY 10021-8722
Phone (212) 826-3903

Other identifiers 1

IdentifierTypeStateIssuer
01506770MedicaidNY

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
I20090422000598 NY Practitioner - Gastroenterology 9537217922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Gastroenterology Associates LLPGroup PAC ID 8224929302, 25 clinicians

Practice addresses (Care Compare)

311 E 79TH St
New York, NY 10075-0999
Phone (212) 996-6633

60 E 56TH St
FL 7
New York, NY 10022-3344
Phone (212) 996-6633

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158342NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Gastroenterology Associates LLP Gastroenterology CurrentSince Jan 1, 2019 Accepting new patients
Yorkville Endoscopy, LLC PastSince Dec 5, 2023 Accepting new patients
Yorkville Medical Associates PLLC Past Accepting new patients
Acquista and Mattoo Medical Associates PLLC Past Accepting new patients

Locations

311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633

60 E 56th St
Fl 7
New York, NY 10022
Phone (212) 326-8999

16 E 52nd St
Ste 403
New York, NY 10022
Phone (212) 826-3903

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1407952104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218722",
            "telephone_number": "212-826-3903",
            "fax_number": "212-339-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218722",
            "telephone_number": "212-826-3903",
            "fax_number": "212-339-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "158342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01506770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.