Active NPI
Adam Mitchell Butensky, MD
- Pediatric Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 25MA12153900
- Practice address
- 3959 Broadway
Chony North 2-253
New York, NY 10032 - Phone
- (212) 305-6543
- NPI assigned
- Jun 6, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 305673 | NY | |
| Pediatrics Physician | 208000000X | 25MA12153900 | NJ | |
| Pediatrics Physician | 208000000X | MT213039 | PA | |
| Pediatric Cardiology Physician | 2080P0202X | 305673 | NY | |
| Pediatric Cardiology Physician | 2080P0202X | 25MA12153900 | NJ | Primary |
Addresses
Primary practice location
3959 Broadway
Chony North 2-253
New York, NY 10032
Mailing address
379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (732) 937-8939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Pediatric Medicine
- Education
- Columbia University College of Physicians and Surgeons, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
349 E Northfield Rd
Livingston, NJ 07039-4802
Phone (201) 259-0185
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12153900 | NJ | MD | Pediatrics Physician |
| MT213039 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Pediatrics | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
400 Kelby St
Fl 9
Fort Lee, NJ 07024
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
349 E Northfield Rd
Livingston, NJ 07039
Phone (973) 992-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
3959 Broadway
#2253
New York, NY 10032
Phone (212) 305-6543
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
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Pediatrics
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- Hackensack, NJ
- NPI 1316772668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1750810586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAMPUS DR FL 4",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731161",
"telephone_number": "732-937-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "CHONY NORTH 2-253",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-305-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTENSKY",
"first_name": "ADAM",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "305673",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA12153900",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT213039",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "305673",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "25MA12153900",
"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 8, 2024; 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.