Active NPI
Abadir Associates, M.D., P.C.
- Dermatology Physician
- Rye Brook, NY
National Provider Identifier
1790904258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 114927
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00305564 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dermatology Physician
- Rye Brook, NY
- NPI 1396845798
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.