Organization Active NPI

Adam David Schaffner, M.D., P.L.L.C.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1972617801
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
217426 Issued in NY
Legal business name
ADAM DAVID SCHAFFNER, M.D., P.L.L.C.
Practice address
590 5TH Ave # 1101
New York, NY 10036-4702
Phone
(212) 481-6696
Fax
(877) 992-0274
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Adam David Schaffner, M.D.NPI 1629182548
Title
Physician
Phone
(914) 309-8300

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 217426 NY Primary

Addresses

Primary practice location

590 5TH Ave # 1101
New York, NY 10036-4702

Mailing address

590 5TH Ave Ste 1101
New York, NY 10036-4702
Phone (212) 481-6696

Other names 1

  • Plastic Surgery Institute of New York Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130701000015 NY Part B Supplier - Clinic/Group Practice 0840377255 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

590 5th Ave
Ste 1101
New York, NY 10036
Phone (212) 481-6696

120 E 56th St
Ste 800A
New York, NY 10022

590 5th Ave
#1101
New York, NY 10036
Phone (212) 481-6696

120 E 56th St
#800A
New York, NY 10022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1972617801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 5TH AVE STE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364702",
            "telephone_number": "212-481-6696",
            "fax_number": "877-992-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 5TH AVE # 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364702",
            "telephone_number": "212-481-6696",
            "fax_number": "877-992-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM DAVID SCHAFFNER, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "SCHAFFNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-309-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "217426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Institute of New York",
            "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 Apr 26, 2024; 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.