Hana Dandona, RPA-C – Medical Physician Assistant

Key facts

NPI: 1003008038
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 23-010903 (NY)
Practice address: 796 Deer Park Ave
North Babylon, NY 11703-4304
Phone: (631) 321-1045
Fax: (631) 321-1102
NPI assigned: Aug 14, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

CHS Physician Partners, PC Interventional Cardiology Physician · Fresh Meadows, NY · NPI 1407089345

Medicare reassignment Care Compare group NY
CHS Physician Partners, P.C Cardiovascular Disease Physician · Roslyn, NY · NPI 1164585725

NPD
Michael H Polcino, MD, PLLC Colon & Rectal Surgery Physician · North Babylon, NY · NPI 1881092336

NPD (past)
Michael Polcino MD PC Obstetrics & Gynecology Physician · West Babylon, NY · NPI 1861688251

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Good Samaritan Hospital Medical Center General Acute Care Hospital · West Islip, NY · NPI 1902865355

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2005
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: CHS Physician Partners PC (739 clinicians)

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000

556 Montauk Hwy
West Islip, NY 11795-4407
Phone (631) 376-3251

Hospital & facility affiliations

Good Samaritan Hospital Medical Center Hospital · West Islip, NY · CCN 330286

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20080618000002	NY	Practitioner - Physician Assistant	5799856803	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
010903	NY	MD	Mental Health Counselor
23-010903	NY	MD	Medical Physician Assistant

Practice roles (3 of 7)

Organization	Status	New patients
CHS Physician Partners, P.C	Current since Nov 9, 2022	Accepting new patients
Michael Polcino MD PC	Past	Accepting new patients
Michael H Polcino, MD, PLLC	Past	Accepting new patients

Locations

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

Healthfirst Medicare Network H1722
Healthfirst Medicare Network H9678
Healthfirst Medicare Network H3359
Healthfirst Medicare Network H5989

Interoperability endpoints

FHIR API: https://fhir-usa.unify.chbase.com/org/goodsam-e985ad39
Direct secure messaging: hdandona84825@direct-chsli.net
FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
FHIR API: https://api.platform.athenahealth.com/16505/brand/1/csg/1/fhir/r4
FHIR API: https://fhir-myrecord.cerner.com/r4/0b68d467-99ef-4e61-8d13-42f723ecabc5/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	23-010903	NY	Yes

Addresses

Primary practice location

796 Deer Park Ave
North Babylon, NY 11703-4304

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000

Other providers in North Babylon, NY

All providers in North Babylon, NY · Medical Physician Assistant in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.