Provider Demographics
NPI:1912069394
Name:ADES, ALBERT (MD MS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:ADES
Suffix:
Gender:M
Credentials:MD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1705
Mailing Address - Country:US
Mailing Address - Phone:973-785-0222
Mailing Address - Fax:973-785-8963
Practice Address - Street 1:129 MADISON AVE
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2014
Practice Address - Country:US
Practice Address - Phone:201-567-9766
Practice Address - Fax:201-567-0985
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04854500207Q00000X, 207NS0135X, 207R00000X, 2086S0122X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0108109000OtherAMERIHEALTH
NJ5999083OtherGHI
NJ7156387OtherCIGNA
NJ541141OtherAETNA
NJ2060809Medicaid
NY27L301OtherEMPIRE BCBS
NJP397174OtherOXFORD
NJ49837OtherAMERIGROUP
NJ541141OtherAETNA
NJ7156387OtherCIGNA