Individual provider Active NPI

Adam T Nomberg, MD

  • Specialist
  • Plainview, NY
National Provider Identifier
1851393847
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
197495 Issued in NY
Practice address
100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311
Phone
(516) 935-4141
Fax
(516) 935-1770
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 197495 NY Primary

Addresses

Primary practice location

100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311

Mailing address

100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311
Phone (516) 935-4141

Other identifiers 1

IdentifierTypeStateIssuer
01753828MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000813 NY Practitioner - Ophthalmology 0840267340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adam T. Nomberg, M.D, P.C.Group PAC ID 9638110851, 2 clinicians

Practice addresses (Care Compare)

100 Manetto Hill Rd
Suite 105
Plainview, NY 11803-1311
Phone (516) 935-4141

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adam T. Nomberg, M.D, P.C. CurrentSince Oct 1, 2000 Accepting new patients

Locations

100 Manetto Hill Rd
Ste 105
Plainview, NY 11803
Phone (516) 752-8866

3 Medical Dr
Ste A
Port Jefferson Station, NY 11776
Phone (631) 473-4245

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1851393847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "address_2": "SUITE 105",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-935-4141",
            "fax_number": "516-935-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "address_2": "SUITE 105",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-935-4141",
            "fax_number": "516-935-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMBERG",
        "first_name": "ADAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "197495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.