Individual provider Active NPI

Robert Adler, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1700898418
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030937 Issued in NY
Practice address
5824 14TH Ave
Brooklyn, NY 11219-4623
Phone
(718) 438-8400
Fax
(718) 438-5292
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 030937 NY Primary

Addresses

Primary practice location

5824 14TH Ave
Brooklyn, NY 11219-4623

Mailing address

5824 14TH Ave
Brooklyn, NY 11219-4623
Phone (718) 438-8400

Other identifiers 1

IdentifierTypeStateIssuer
00297407MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407000037 NY Practitioner - Oral SurgeryPractitioner - Dentist 3779895479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Adler DDS PC CurrentSince Mar 15, 2023 Accepting new patients
Barry Noskow DDS, PC PastSince Mar 15, 2023 Accepting new patients

Locations

5824 14th Ave
Brooklyn, NY 11219
Phone (718) 438-8400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1700898418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194623",
            "telephone_number": "718-438-8400",
            "fax_number": "718-438-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194623",
            "telephone_number": "718-438-8400",
            "fax_number": "718-438-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "030937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00297407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.