Organization Active NPI

Abadir Associates, M.D., P.C.

  • Dermatology Physician
  • Rye Brook, NY
National Provider Identifier
1790904258
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
114927 Issued in NY
Legal business name
ABADIR ASSOCIATES, M.D., P.C.
Practice address
90 S Ridge St # LL3
Rye Brook, NY 10573-2867
Phone
(914) 937-5500
Fax
(914) 937-7678
NPI assigned
Apr 24, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Dale M. Abadir, M.D.NPI 1396845798
Title
President
Phone
(914) 937-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 114927 NY Primary

Addresses

Primary practice location

90 S Ridge St # LL3
Rye Brook, NY 10573-2867

Mailing address

90 S Ridge St # LL3
Rye Brook, NY 10573-2867
Phone (914) 937-5500

Other identifiers 1

IdentifierTypeStateIssuer
00305564MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1790904258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST # LL3",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-5500",
            "fax_number": "914-937-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST # LL3",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732867",
            "telephone_number": "914-937-5500",
            "fax_number": "914-937-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABADIR ASSOCIATES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "ABADIR",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-937-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "114927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.