Mike David

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

020342 Issued in NY

Practice address

1455 West Ave
Bronx, NY 10462-7304

Phone

(718) 239-1500

Fax

(929) 481-4887

NPI assigned

Nov 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mdavid@advderm.emadirect.md

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.

• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  Medicare reassignment Care Compare group
• Advanced Dermatology of New York PC

  • Dermatology Physician
  • New York, NY
  • NPI 1083610521
  Medicare reassignment
• Advanced Dermatology of New York, P.C.

  • Specialist
  • Bronx, NY
  • NPI 1497017552
  NPD
• Advanced Dermatology of New York PC

  • Dermatology Physician
  • Bronx, NY
  • NPI 1518964923
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1013469295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PAWNEE DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254210",
            "telephone_number": "718-775-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 WEST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "718-239-1500",
            "fax_number": "929-481-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Bartow Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104754614",
            "country_code": "US",
            "telephone_number": "718-671-1000",
            "fax_number": "929-733-7241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2432 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585204",
            "country_code": "US",
            "telephone_number": "718-537-5000",
            "fax_number": "929-512-4598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3751 82nd St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727031",
            "country_code": "US",
            "telephone_number": "718-829-9000",
            "fax_number": "347-503-7163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MIKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire David, RN
• Ernst David, DC
• Irfan David
• James David, M.D.
• Joan David, NURSE PRACTITIONER
• Norma A David, FNP
• Ryan David, MD
• Tashina David, RN
• Teddy David
• Unicka David

• Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.