Michele Adler, MD
Individual provider Active NPI Psychiatry Physician · Brick, NJ
NPI 1962511527 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1962511527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MA057275 (NJ)
- Practice address
- 970 Route 70
Brick, NJ 08724-3502 - Phone
- (732) 836-6003
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20130621000159 | NJ | Order and Referring Only - Psychiatry |
0446499537 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057275 | NJ | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA057275 | NJ | Yes |
Addresses
Primary practice location
970 Route 70
Brick, NJ 08724-3502
Mailing address
13 Hartshorne Rd
Ocean, NJ 07712-2539
Phone (732) 695-9435
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All providers in Brick, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2013. 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.