Individual provider Active NPI

Adam William Slevin, PA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1891954244
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052844 Issued in PA
Practice address
419 Park Ave S RM 1305
New York, NY 10016-8433
Phone
(212) 545-5400
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052844 PA
Medical Physician Assistant 363AM0700X MA052844 PA Primary

Addresses

Primary practice location

419 Park Ave S RM 1305
New York, NY 10016-8433

Mailing address

524 E 20TH St
Apt 9G
New York, NY 10009-1302
Phone (215) 313-8800

Other practice location 1

524 E 20th St
Apt 9G
New York, NY 10009-1302
Phone (215) 313-8800

Other identifiers 3

IdentifierTypeStateIssuer
013351OtherNYSTATE LICENSE
MA052844OtherPASTATE LICENSE#
1073589OtherPABOARD CERTIFICATION (NCCPA)#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aslevin82632@nyumc.direct-ci.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420002105 NY Practitioner - Physician Assistant 9032335096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013351NYMDPhysical Therapy Assistant
MA052844PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 17, 2016 Accepting new patients
NYU Langone Hospitals CurrentSince Feb 17, 2016 Accepting new patients
New York University CurrentSince Feb 17, 2016 Accepting new patients
NYU Langone Hospitals CurrentSince Feb 17, 2016 Accepting new patients

Locations

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

419 Park Ave S
Rm 1305
New York, NY 10016
Phone (212) 545-5400

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: aslevin82632@nyumc.direct-ci.com

Organizations & group practices 4

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1891954244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E 20TH ST",
            "address_2": "APT 9G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091302",
            "telephone_number": "215-313-8800",
            "fax_number": "212-263-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168433",
            "telephone_number": "212-545-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 E 20th St",
            "address_2": "Apt 9G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100091302",
            "country_code": "US",
            "telephone_number": "215-313-8800",
            "fax_number": "212-263-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEVIN",
        "first_name": "ADAM",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052844",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "013351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE#",
            "identifier": "MA052844",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION (NCCPA)#",
            "identifier": "1073589",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aslevin82632@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "419 Park Ave S Rm 1305",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100168433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.