1033873153 NPI number — ADAPT MEDICAL PROFESSIONAL SERVICES

Table of content: (NPI 1033873153)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033873153 NPI number — ADAPT MEDICAL PROFESSIONAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADAPT MEDICAL PROFESSIONAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033873153
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
80 MAIDEN LANE
Provider Second Line Business Mailing Address:
8TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10038-4783
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-683-6700
Provider Business Mailing Address Fax Number:
212-679-0893

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 MAIDEN LANE
Provider Second Line Business Practice Location Address:
8TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038-4783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-683-6700
Provider Business Practice Location Address Fax Number:
212-679-0893
Provider Enumeration Date:
10/25/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STEIN
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
DIRECTOR, BUSINESS OPERATIONS
Authorized Official Telephone Number:
212-683-6700

Provider Taxonomy Codes

  • Taxonomy code: 103TM1800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2251H1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XF0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)