Active NPI
Adil H Al-Humadi, P.C.
- Colon & Rectal Surgery Physician
- Olean, NY
National Provider Identifier
1487928693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 120097-1
- Legal business name
- ADIL H AL-HUMADI, P.C.
- Practice address
- 2223 W State St
Suite 117
Olean, NY 14760-1938 - Phone
- (716) 372-9629
- Fax
- (716) 372-9638
- NPI assigned
- Mar 6, 2012
- 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
- Dr. Adil H Al-Humadi, M.D.
- Title
- President
- Phone
- (716) 372-9629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 120097-1 | NY | Primary |
Addresses
Primary practice location
2223 W State St
Suite 117
Olean, NY 14760-1938
Mailing address
2223 W State St
Suite 117
Olean, NY 14760-1938
Phone (716) 372-9629
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001304052 | Other | PA | BLUE SHIELD OF PA |
| 00604480 | Medicaid | NY | |
| 283015003 | Other | NY | TRAVELERS MEDICAER |
| 1401542 | Other | NY | INDEPENDENT HEALTH |
| 00010001801 | Other | NY | UNIVERA |
| 000506398001 | Other | NY | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2223 W State St
Ste 117
Olean, NY 14760
Phone (716) 372-9629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1487928693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 W STATE ST",
"address_2": "SUITE 117",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601938",
"telephone_number": "716-372-9629",
"fax_number": "716-372-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 W STATE ST",
"address_2": "SUITE 117",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601938",
"telephone_number": "716-372-9629",
"fax_number": "716-372-9638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADIL H AL-HUMADI, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "AL-HUMADI",
"authorized_official_first_name": "ADIL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-372-9629",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "120097-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "001304052",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00604480",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICAER",
"identifier": "283015003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1401542",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010001801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000506398001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.