Active NPI
Adam Michael Nusblatt, DMD
- Dentist
- New York, NY
National Provider Identifier
1528384633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 055649
- Practice address
- 60 E 9TH St
Suite 206
New York, NY 10003-6402 - Phone
- (212) 473-2164
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 055649 | NY | Primary |
Addresses
Primary practice location
60 E 9TH St
Suite 206
New York, NY 10003-6402
Mailing address
89 Buttonwood Dr
Dix Hills, NY 11746-4804
Phone (631) 988-8593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055649 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam M Nusblatt, DMD PC | Dentist | Current | Accepting new patients |
Locations
60 E 9th St
Apt 206
New York, NY 10003
Phone (212) 473-2164
Organizations & group practices 1
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.
-
- Dentist
- New York, NY
- NPI 1649896416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1528384633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 BUTTONWOOD DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117464804",
"telephone_number": "631-988-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E 9TH ST",
"address_2": "SUITE 206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036402",
"telephone_number": "212-473-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSBLATT",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.