Organization Active NPI

Adam Geyer MD PC

Doing business as Tribeca Park Dermatology

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1902068414
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
223986 Issued in NY
Legal business name
ADAM GEYER MD PC
Doing business as
Tribeca Park Dermatology
Practice address
32 Ericsson PL
New York, NY 10013-2411
Phone
(212) 374-9750
Fax
(212) 374-9705
NPI assigned
Jun 26, 2008
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Adam Geyer, MDNPI 1508804238
Title
Owner
Phone
(212) 374-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 223986 NY Primary

Addresses

Primary practice location

32 Ericsson PL
New York, NY 10013-2411

Mailing address

32 Ericsson PL
New York, NY 10013-2411
Phone (212) 374-9750

Other names 1

  • Tribeca Park Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000449 NY Part B Supplier - Clinic/Group Practice 4587730478 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1902068414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132411",
            "telephone_number": "212-374-9750",
            "fax_number": "212-374-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ERICSSON PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132411",
            "telephone_number": "212-374-9750",
            "fax_number": "212-374-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM GEYER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-374-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "223986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tribeca Park Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.