Individual provider Active NPI

Adam T Silverman, MD, MS

  • Plastic Surgery Physician
  • Poughkeepsie, NY
National Provider Identifier
1598963852
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
266089 Issued in NY
Practice address
21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone
(845) 454-6392
Fax
(845) 454-6393
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 266089 NY Primary

Addresses

Primary practice location

21 Fairmont Ave
Poughkeepsie, NY 12603-2409

Mailing address

21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone (845) 454-6392

Other identifiers 2

IdentifierTypeStateIssuer
A400082435OtherNYMEDICARE PTAN
03530687MedicaidNY

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
I20130411000265 NY Practitioner - Plastic and Reconstructive Surgery 7911143235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone (845) 454-6392

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266089NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Surgery PC Plastic Surgery CurrentSince Aug 1, 2012 Accepting new patients

Locations

21 Fairmont Ave
Poughkeepsie, NY 12603
Phone (845) 452-8063

4 Liberty St
Stop 3
Poughkeepsie, NY 12601
Phone (845) 454-6392

Interoperability endpoints

  • Direct secure messaging: asilverm@direct.health-quest.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJEJBA/Endpoint/JJEJBA

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.

Hospital & facility affiliations 3

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1598963852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032409",
            "telephone_number": "845-454-6392",
            "fax_number": "845-454-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032409",
            "telephone_number": "845-454-6392",
            "fax_number": "845-454-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "ADAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "266089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400082435",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03530687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.