Individual provider Active NPI

Adam W Mauer, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Manhasset, NY
National Provider Identifier
1518959212
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
227736 Issued in NY
Practice address
1165 Northern Blvd
Suite 303
Manhasset, NY 11030-3048
Phone
(516) 627-0303
Fax
(516) 627-1399
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 227736 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 227736 NY Primary

Addresses

Primary practice location

1165 Northern Blvd
Suite 303
Manhasset, NY 11030-3048

Mailing address

1165 Northern Blvd
Suite 303
Manhasset, NY 11030-3048
Phone (516) 627-0303

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
I20230512001811 NY Practitioner - General Surgery 0941228696 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227736NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Pkwy Medical of New York LLC CurrentSince May 4, 2023 Accepting new patients
Health Bridge Physical Therapy, PC Past Accepting new patients

Locations

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

2157 White Plains Rd
Ste B
Bronx, NY 10462

260 W Sunrise Hwy
Ste C
Valley Stream, NY 11581
Phone (347) 429-7699

Organizations & group practices 4

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1518959212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 303",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-0303",
            "fax_number": "516-627-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 303",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-0303",
            "fax_number": "516-627-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "ADAM",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "227736",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "227736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.