Active NPI
Adam Barsoum, D.M.D
- Dentist
- New York, NY
National Provider Identifier
1871979286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060915
- Practice address
- 140 E 56TH St Apt 1C
New York, NY 10022-3624 - Phone
- (646) 777-2601
- NPI assigned
- Aug 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1857010 | MA | |
| Dentist | 122300000X | 060915 | NY | Primary |
Addresses
Primary practice location
140 E 56TH St Apt 1C
New York, NY 10022-3624
Mailing address
1125 Commonwealth Ave
Allston, MA 02134-3201
Phone (617) 459-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060915 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barsoum Dental PC | General Practice | Current | Accepting new patients |
Locations
140 E 56th St
Apt 1C
New York, NY 10022
Phone (212) 750-3024
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.
-
- General Practice Dentistry
- New York, NY
- NPI 1134822356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1871979286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 COMMONWEALTH AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021343201",
"telephone_number": "617-459-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E 56TH ST APT 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223624",
"telephone_number": "646-777-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSOUM",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1857010",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060915",
"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 Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.