Individual provider Active NPI

Albert N Nadaf, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1972522936
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1114511 Issued in NY
Practice address
3508 Flatlands Ave
Physicare Multi-Services
Brooklyn, NY 11234
Phone
(718) 253-3900
Fax
(718) 258-7844
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1114511 NY Primary

Addresses

Primary practice location

3508 Flatlands Ave
Physicare Multi-Services
Brooklyn, NY 11234

Mailing address

3508 Flatlands Ave
Physicare Multi-Services
Brooklyn, NY 11234
Phone (718) 253-3900

Other identifiers 1

IdentifierTypeStateIssuer
00780869MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000254 NY Practitioner - Gastroenterology 3072503689 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111451NYMDSchool Social Worker
1114511NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor'S Medical P.C CurrentSince Sep 29, 2017 Accepting new patients
Physicare Multi Services LTD Gastroenterology CurrentSince Sep 29, 2017 Accepting new patients
LMC Physician Services, PC Gastroenterology Past Accepting new patients

Locations

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

330 Neptune Ave
Brooklyn, NY 11235
Phone (718) 646-0200

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

Networks

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

Interoperability endpoints

  • Direct secure messaging: anadaf130550@nyumc.direct-ci.com

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1972522936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FLATLANDS AVE",
            "address_2": "PHYSICARE MULTI-SERVICES",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-253-3900",
            "fax_number": "718-258-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FLATLANDS AVE",
            "address_2": "PHYSICARE MULTI-SERVICES",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-253-3900",
            "fax_number": "718-258-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAF",
        "first_name": "ALBERT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1114511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.