Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Adi Davidov, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1356324677

Dr. Adi Davidov, MD is an Obstetrics/Gynecology in Staten Island, New York. Qualified in 1997, 29 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

440 Seaview Ave
Staten Island, NY 10305-3401
Phone: (718) 226-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 212520 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 212520 (NY)

Record details

NPI number1356324677
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESJanuary 28, 2011
Mailing address1 Edgewater St, 6th Fl. Payer Relations, Staten Island, NY 10305-4900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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