Healthcare Provider Details

I. General information

NPI: 1073107744
Provider Name (Legal Business Name): KERRY ADLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 E 68TH ST
NEW YORK NY
10065-5606
US

IV. Provider business mailing address

633 3RD AVE FL 4
NEW YORK NY
10017-6943
US

V. Phone/Fax

Practice location:
  • Phone: 973-768-2123
  • Fax:
Mailing address:
  • Phone: 646-227-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number325713-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: