Individual provider Active NPI

Adam Shaker Geyer, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1508804238
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
223986 Issued in NY
Practice address
30-32 Ericsson Place
New York, NY 10013-6301
Phone
(212) 374-9750
Fax
(212) 374-9705
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 223986 NY Primary

Addresses

Primary practice location

30-32 Ericsson Place
New York, NY 10013-6301

Mailing address

505 Greenwich St
12B
New York, NY 10013-1380
Phone (917) 733-1625

Other identifiers 1

IdentifierTypeStateIssuer
02638631MedicaidNY

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
I20050111000735 NY Practitioner - Dermatology 0042268500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam Geyer MD PCGroup PAC ID 4587730478, 5 clinicians

Practice addresses (Care Compare)

30 -32 Ericsson Place
First Floor
New York, NY 10013-2411
Phone (212) 374-9750

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions757
Removal or shaving of skin growth1-10
Skin biopsy223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Geyer MD PC Dermatology CurrentSince Mar 11, 2008 Accepting new patients
Paru Chaudhari MD PLLC PastSince Mar 17, 2013 Accepting new patients
Sherwin K Parikh MD PC Dermatology PastSince Apr 1, 2009 Accepting new patients

Locations

32 Ericsson Pl
New York, NY 10013
Phone (212) 374-9750

Networks

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

Interoperability endpoints

  • Direct secure messaging: ageyer@triparkderm.emadirect.md
  • Direct secure messaging: adg9005@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1508804238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GREENWICH ST",
            "address_2": "12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131380",
            "telephone_number": "917-733-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-32 ERICSSON PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100136301",
            "telephone_number": "212-374-9750",
            "fax_number": "212-374-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "ADAM",
        "middle_name": "SHAKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "223986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.