Individual provider Active NPI

Adam David Schaffner, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1629182548
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
217426 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000787 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 5092799122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
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

LicenseStateTypeSpecialty
217426NYMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Operations, PLLC Plastic Surgery CurrentSince Feb 12, 2023 Accepting new patients
Adam David Schaffner, M.D., P.L.L.C. Plastic Surgery CurrentSince Apr 9, 2008 Accepting new patients
Bodian Medical Services of Forest Hills PC Past Accepting new patients
ENT and Allergy Associates LLP Otolaryngology PastSince Aug 1, 2021 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

  • Direct secure messaging: aschaffner68053@northwell.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.