Organization Active NPI

Daniel J. Nadler MD PC

  • Ophthalmology Physician
  • Sewickley, PA
National Provider Identifier
1497757629
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD026919E Issued in PA
Legal business name
DANIEL J. NADLER MD PC
Practice address
111 Hazel LN
Ste 102
Sewickley, PA 15143-1253
Phone
(412) 741-5577
Fax
(412) 741-1141
NPI assigned
Jun 1, 2005
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Daniel J Nadler, MDNPI 1699777821
Title
President
Phone
(412) 741-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD026919E PA Primary

Addresses

Primary practice location

111 Hazel LN
Ste 102
Sewickley, PA 15143-1253

Mailing address

111 Hazel LN
102
Sewickley, PA 15143-1253
Phone (412) 741-5577

Other identifiers 1

IdentifierTypeStateIssuer
1496680MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050425000084 PA Part B Supplier - Clinic/Group Practice 8628016227 Receives reassigned benefits from 6 practitioners
Practice locations: Beaver, PA; Sewickley, PA
O20100930024887 PA DME Supplier - Physician - Ophthalmology 8628016227 Practice locations: Sewickley, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2054109Daniel J Nadler, MD111 Hazel Lane Suite 102, Sewickley, PA 15143Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

111 Hazel Ln
Ste 102
Sewickley, PA 15143
Phone (412) 741-5577

409 Broad St
Ste 270
Sewickley, PA 15143
Phone (412) 741-5577

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1497757629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN",
            "address_2": "102",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-741-5577",
            "fax_number": "412-741-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN",
            "address_2": "STE 102",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-741-5577",
            "fax_number": "412-741-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. NADLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-741-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD026919E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496680",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.