Active NPI
Adam T. Nomberg, M.D, P.C.
- Ophthalmology Physician
- Plainview, NY
National Provider Identifier
1467595397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 197495
- Legal business name
- ADAM T. NOMBERG, M.D, P.C.
- Practice address
- 100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311 - Phone
- (516) 935-4141
- Fax
- (516) 935-1770
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Conway
- Title
- Billing Manager
- Phone
- (516) 935-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 197495 | NY | Primary |
Addresses
Primary practice location
100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311
Mailing address
100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311
Phone (516) 935-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01753828 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Manetto Hill Rd
Ste 105
Plainview, NY 11803
Phone (516) 752-8866
3 Medical Dr
Ste A
Port Jefferson Station, NY 11776
Phone (631) 473-4245
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Plainview, NY
- NPI 1851393847
-
- Ophthalmology Physician
- Hicksville, NY
- NPI 1891788337
-
- Ophthalmology Physician
- Bethpage, NY
- NPI 1275640716
-
- Ophthalmology Physician
- Bethpage, NY
- NPI 1134198906
-
- Ophthalmology Physician
- Farmingdale, NY
- NPI 1396798476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467595397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MANETTO HILL RD",
"address_2": "SUITE 105",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031311",
"telephone_number": "516-935-4141",
"fax_number": "516-935-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MANETTO HILL RD",
"address_2": "SUITE 105",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031311",
"telephone_number": "516-935-4141",
"fax_number": "516-935-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAM T. NOMBERG, M.D, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CONWAY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "516-935-4141",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "197495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01753828",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.