Individual provider Active NPI

Robert Steven Adelman, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1982653606
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N002651-1 Issued in NY
Practice address
11 Fifth Avenue
Suite a
New York, NY 10003-4342
Phone
(212) 254-2772
Fax
(212) 254-6336
NPI assigned
May 9, 2006
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X N002651-1 NY Primary
Podiatrist 213E00000X 25MD00237200 NJ

Addresses

Primary practice location

11 Fifth Avenue
Suite a
New York, NY 10003-4342

Mailing address

12888 Mount Madison LN
Boynton Beach, FL 33473-3312
Phone (212) 254-2772

Other identifiers 1

IdentifierTypeStateIssuer
01470873MedicaidNY

Other names 1

  • Robert Steven Adelman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00237200NJMDPodiatrist
N002651-1NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1982653606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12888 MOUNT MADISON LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334733312",
            "telephone_number": "212-254-2772",
            "fax_number": "212-254-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FIFTH AVENUE",
            "address_2": "SUITE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034342",
            "telephone_number": "212-254-2772",
            "fax_number": "212-254-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002651-1",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00237200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ADELMAN",
            "middle_name": "STEVEN",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.