NPIMap

Individual provider Active NPI

Adele L Cavalli, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1598894628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
152280 Issued in NY
Practice address
20 Fifth Ave
Suite 1D
New York, NY 10011
Phone
(212) 353-0008
Fax
(212) 353-2228
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 152280 NY Primary

Addresses

Primary practice location

20 Fifth Ave
Suite 1D
New York, NY 10011

Mailing address

20 Fifth Ave
Suite 1D
New York, NY 10011
Phone (212) 353-0008

Other identifiers 2

IdentifierTypeStateIssuer
N37434OtherHEALTHNET
P624058OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000025 NY Practitioner - Obstetrics/Gynecology 6507908795 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 5TH Ave
RM 1605
New York, NY 10011-8010
Phone (212) 353-0008

934 Manhattan Ave
Brooklyn, NY 11222-5928
Phone (718) 389-8585

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. Current Accepting new patients
Premier Healthcare, Inc. CurrentSince Feb 13, 2011 Accepting new patients
M. Zakir Sabry, MD, PC PastSince Jan 1, 2006 Accepting new patients
Thomas R Penny DPM PC Past Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/279809/r4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598894628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FIFTH AVE",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-353-0008",
            "fax_number": "212-353-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FIFTH AVE",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-353-0008",
            "fax_number": "212-353-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLI",
        "first_name": "ADELE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "152280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N37434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P624058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.