David Carmili Physician PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

171109 Issued in NY

Legal business name

DAVID CARMILI PHYSICIAN PC

Practice address

714 Seneca Ave
Ridgewood, NY 11385-2895

Phone

(718) 386-6663

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David CarmiliNPI 1497856942

Title

Director Officer

Phone

(718) 386-6663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Carmili, M.D.

  • Pediatrics Physician
  • Ridgewood, NY
  • NPI 1497856942

  PA

  Medicare reassignment NPD Authorized official
• Roy M Shanon, M.D.

  • Neurology Physician
  • Melville, NY
  • NPI 1285723791
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1013075779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-386-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-386-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CARMILI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "CARMILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "718-386-6663"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "171109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolanta Czerech
• Joanna Dabrowska, MS.TSLD
• Lucian V Dajdea, MD
• James G. Dam, BS PHARM, MS
• Helene Darmanin, PT, DPT
• Bryan Joseph Gicana De la Cruz, PT
• Anna Dec, CASAC
• Gadi Dekel, DMD
• Justina Delgado
• Denis E Blumberg LCSW-R, P.C.

• Legal Medicine in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.