Active NPI
Adam Belmadani, DMD
- General Practice Dentistry
- Plattsburgh, NY
National Provider Identifier
1881251833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 061058
- Practice address
- 37 Boynton Ave.
Suite # 2
Plattsburgh, NY 12901 - Phone
- (578) 563-5002
- Fax
- (518) 205-7795
- NPI assigned
- May 24, 2019
- Last updated
- Sep 19, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 061058 | NY | Primary |
Addresses
Primary practice location
37 Boynton Ave.
Suite # 2
Plattsburgh, NY 12901
Mailing address
37 Boynton Ave
Suite #3
Plattsburgh, NY 12901
Phone (578) 563-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7573875 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061058 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1881251833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BOYNTON AVE",
"address_2": "SUITE #3",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "578-563-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BOYNTON AVE.",
"address_2": "SUITE # 2",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "578-563-5002",
"fax_number": "518-205-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELMADANI",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2023-09-19",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "061058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7573875",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.