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DR. ADAM NADELSON M.D.
NPI 1083902332
Surgery - Plastic and Reconstructive Surgery in Port Jefferson Station, NY

Active since July 20, 2011PECOS Enrolled
96 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776(631) 815-2366 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Feb 4, 2020, May 23, 2019 (3 updates tracked since 2019).

About Dr. Adam Nadelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM NADELSON M.D. (NPI 1083902332) is an individual plastic and reconstructive surgery provider in Port Jefferson Station, New York, licensed in New York (264938) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1083902332
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. ADAM NADELSONCredential: M.D.
Location Address96 TERRYVILLE RDPort Jefferson Station, NY 11776-1388
Mailing Address96 Terryville RdPort Jefferson Station, NY 11776-1388 · (631) 815-2366
Phone(631) 815-2366
Sole ProprietorYes
Enumeration DateJuly 20, 2011
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1083902332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 264938
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 264938 (NY)
Also ListedSurgeryTaxonomy 208600000X · License 264938 (NY)
96 TERRYVILLE RD, Port Jefferson Station, NY 11776
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Secondary Practice Location 1

Location 153 W 36th St Rm 204New York, NY 10018-7624 · Phone (844) 843-4836

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Nadelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWN SURGERY NY PLLC
Surgery (Plastic and Reconstructive Surgery)
96 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 815-2366
ANN L LETOURNEAU MD PC
Surgery (Plastic and Reconstructive Surgery)
96 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4200
ANN LUCY LETOURNEAU MD
Surgery (Plastic and Reconstructive Surgery)
96 TERRYVILLE RD
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Nadelson's NPI number?

The NPI number for Adam Nadelson is 1083902332. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Adam Nadelson located?

Adam Nadelson practices at 96 Terryville Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 815-2366.

What is Adam Nadelson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Adam Nadelson enrolled in Medicare?

Yes. Adam Nadelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Nadelson was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.