Individual provider Active NPI

Stewart Lawrence Adelson, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1942387253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
181138 Issued in NY
Practice address
117 W 17TH St
Ste. 2B
New York, NY 10011-5409
Phone
(212) 924-1460
Fax
(212) 924-1460
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 181138 NY Primary

Addresses

Primary practice location

117 W 17TH St
Ste. 2B
New York, NY 10011-5409

Mailing address

117 W 17TH St
Ste. 2B
New York, NY 10011-5409
Phone (212) 924-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 30, 2016 through Oct 30, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181138NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942387253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 17TH ST",
            "address_2": "STE. 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115409",
            "telephone_number": "212-924-1460",
            "fax_number": "212-924-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 17TH ST",
            "address_2": "STE. 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115409",
            "telephone_number": "212-924-1460",
            "fax_number": "212-924-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSON",
        "first_name": "STEWART",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.