Active NPI
Adam David Schaffner, M.D.
- Plastic Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 217426
- Practice address
- 590 5TH Ave Ste 1101
New York, NY 10036-4702 - Phone
- (212) 481-6696
- Fax
- (877) 992-0274
- NPI assigned
- Aug 18, 2006
- Last updated
- Sep 12, 2023
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 217426 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | 217426 | NY | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 217426 | NY | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 217426 | NY | |
| Plastic Surgery Physician | 208200000X | 217426 | NY | Primary |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 217426 | NY |
Addresses
Primary practice location
590 5TH Ave Ste 1101
New York, NY 10036-4702
Mailing address
590 5TH Ave Ste 1101
New York, NY 10036-4702
Phone (212) 481-6696
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rush Medical College of Rush University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
590 5TH Ave
Suite 1101
New York, NY 10036-4702
Phone (212) 481-6696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217426 | NY | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Operations, PLLC | Plastic Surgery | Current | Accepting new patients |
| Adam David Schaffner, M.D., P.L.L.C. | Plastic Surgery | Current | Accepting new patients |
| Bodian Medical Services of Forest Hills PC | Past | Accepting new patients | |
| ENT and Allergy Associates LLP | Otolaryngology | Past | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
120 E 56th St
Ste 800A
New York, NY 10022
590 5th Ave
Ste 1100
New York, NY 10036
Phone (212) 481-6696
590 5th Ave
Ste 1101
New York, NY 10036
Phone (212) 481-6696
Interoperability endpoints
- aschaffner68053@northwell.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Plastic Surgery Institute of New York
- Plastic Surgery Physician
- New York, NY
- NPI 1972617801
-
dba 590 5th Avenue Surgical Suites
- Clinic/Center
- New York, NY
- NPI 1235836362
Plastic Surgery
-
- Specialist
- Forest Hills, NY
- NPI 1043441777
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1629182548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 5TH AVE STE 1101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364702",
"telephone_number": "212-481-6696",
"fax_number": "877-992-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 5TH AVE STE 1101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364702",
"telephone_number": "212-481-6696",
"fax_number": "877-992-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFNER",
"first_name": "ADAM",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "217426",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "217426",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "217426",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "217426",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "217426",
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "NY",
"license": "217426",
"primary": false
}
],
"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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.