Organization Active NPI

Stephen M. Adalman, M.D., P.C.

  • Ophthalmology Physician
  • Kingston, NY
National Provider Identifier
1659696243
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
104800-1 Issued in NY
Legal business name
STEPHEN M. ADALMAN, M.D., P.C.
Practice address
100 Wall St
Kingston, NY 12401-4812
Phone
(845) 338-1085
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Stephen M. Adalman, M.D.
Title
President
Phone
(845) 338-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 104800-1 NY Primary

Addresses

Primary practice location

100 Wall St
Kingston, NY 12401-4812

Mailing address

100 Wall St
Kingston, NY 12401-4812
Phone (845) 338-1085

Other identifiers 1

IdentifierTypeStateIssuer
00182247MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1659696243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014812",
            "telephone_number": "845-338-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014812",
            "telephone_number": "845-338-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. ADALMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "ADALMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-338-1085",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "104800-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.