Individual provider Active NPI

Robert A. Adair, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1457467862
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
106566-1 Issued in NY
Practice address
41 W 96TH St
Suite GF-E
New York, NY 10025-6519
Phone
(212) 866-2000
Fax
(212) 749-8823
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 106566-1 NY Primary

Addresses

Primary practice location

41 W 96TH St
Suite GF-E
New York, NY 10025-6519

Mailing address

41 W 96TH St
GF-E
New York, NY 10025-6519
Phone (212) 866-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031222000026 NY Practitioner - Internal Medicine 7214835842 Practice locations: New York, NY
I20070712000023 NJ Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Family Practice 7214835842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1969
Medicare assignment
May accept Medicare assignment
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

222 Cedar LN
Suite 204
Teaneck, NJ 07666-4312
Phone (201) 836-4025

41 W 96TH St
New York, NY 10025-6519
Phone (212) 866-2000

718 Teaneck Rd
Teaneck, NJ 07666-4245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106566-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Clenton Coleman MD PC Past Accepting new patients

Locations

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

699 Teaneck Rd
Ste 101
Teaneck, NJ 07666
Phone (201) 836-7970

222 Cedar Ln
Ste 204
Teaneck, NJ 07666
Phone (201) 836-4025

222 Cedar Ln
Ste 111
Teaneck, NJ 07666
Phone (201) 833-3491

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1457467862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W 96TH ST",
            "address_2": "GF-E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256519",
            "telephone_number": "212-866-2000",
            "fax_number": "212-749-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 96TH ST",
            "address_2": "SUITE GF-E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256519",
            "telephone_number": "212-866-2000",
            "fax_number": "212-749-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "106566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.