Dean Barry Adelman, DO
Individual provider Active NPI Family Medicine Physician · Brooklyn, NY
NPI 1962465518 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1962465518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 291913 (NY)
- Practice address
- 260 Avenue X
Brooklyn, NY 11223-5940 - Phone
- (718) 522-3399
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715001322 | FL | Practitioner - Family Practice | 6901701283 | Reassigns benefits to 1 organization |
| I20240923002286 | NY | Practitioner - Family Practice | 6901701283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17044 | FL | MD | Family Medicine Physician |
| 291913 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current |
Accepting new patients | |
| Century Medical & Dental Center Inc | Current |
Accepting new patients | |
| Associatesmd Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Suny Downstate Medical Center | Past |
Accepting new patients |
Locations
4780 SW 64th Ave
Ste 103
Davie, FL 33314
350 NW 84th Ave
Ste 200A
Plantation, FL 33324
Phone (954) 424-4321
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
827 11th Ave
New York, NY 10019
Phone (212) 257-9778
2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS17044 | FL | |
| Family Medicine Physician | 207Q00000X | 291913 | NY | Yes |
Addresses
Primary practice location
260 Avenue X
Brooklyn, NY 11223-5940
Mailing address
260 Avenue X
Brooklyn, NY 11223-5940
Phone (718) 522-3399
Other providers in Brooklyn, NY
- Olanrewaju Idris Adekola
- Adefolahan M Adekoya
- Adewumi N Adekunle
- Theodora Adelabu
- Kevin Adeleke
- Elkanah Adelman
- Erika Adelman
- Lauren Adelman
- Sarah Adelman
- Steven Louis Adelman
All providers in Brooklyn, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.