Active NPI
Sheldon Nadler, D.M.D.
- General Practice Dentistry
- New York, NY
National Provider Identifier
1710153184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 030364
- Practice address
- 25 W 54TH St
Suite 1-D
New York, NY 10019-5404 - Phone
- (212) 757-3745
- Fax
- (212) 757-3792
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 030364 | NY | Primary |
Addresses
Primary practice location
25 W 54TH St
Suite 1-D
New York, NY 10019-5404
Mailing address
25 W 54TH St
Suite 1-D
New York, NY 10019-5404
Phone (212) 757-3745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 21, 2018 through May 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030364 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1710153184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W 54TH ST",
"address_2": "SUITE 1-D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195404",
"telephone_number": "212-757-3745",
"fax_number": "212-757-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W 54TH ST",
"address_2": "SUITE 1-D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195404",
"telephone_number": "212-757-3745",
"fax_number": "212-757-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADLER",
"first_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "030364",
"primary": true
}
],
"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 May 12, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.