Individual provider Active NPI

David Bruce Hyman, M.D.

  • Clinical Genetics (M.D.) Physician
  • Manhasset, NY
National Provider Identifier
1013996784
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
155936 Issued in NY
Practice address
1554 Northern Blvd
Suite 204
Manhasset, NY 11030-3006
Phone
(516) 365-3996
Fax
(516) 365-4597
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Biochemical Genetics Physician 207SG0202X 155936 NY
Clinical Genetics (M.D.) Physician 207SG0201X 155936 NY Primary
Clinical Molecular Genetics Physician 207SG0203X 155936 NY
Pediatrics Physician 208000000X 155936 NY

Addresses

Primary practice location

1554 Northern Blvd
Suite 204
Manhasset, NY 11030-3006

Mailing address

1554 Northern Blvd
Suite 204
Manhasset, NY 11030-3006
Phone (516) 365-3996

Other identifiers 2

IdentifierTypeStateIssuer
01611781390OtherAMA MEDICAL IDENTIFICATIO
00808200MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101204000002 NY Practitioner - Pediatric Medicine 6305033226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155936NYMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 5, 2016 Accepting new patients
Genetics Center, Inc. PastSince Jun 23, 1993 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1554 Northern Blvd
Ste 204
Manhasset, NY 11030
Phone (516) 365-3996

1554 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 325-7107

300 Community Dr
Plandome, NY 11030

48 Route 25A
Ste 205
Smithtown, NY 11787
Phone (631) 862-3620

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1013996784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 NORTHERN BLVD",
            "address_2": "SUITE 204",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303006",
            "telephone_number": "516-365-3996",
            "fax_number": "516-365-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NORTHERN BLVD",
            "address_2": "SUITE 204",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303006",
            "telephone_number": "516-365-3996",
            "fax_number": "516-365-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "NY",
            "license": "155936",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "155936",
            "primary": true
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "NY",
            "license": "155936",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "155936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMA MEDICAL IDENTIFICATIO",
            "identifier": "01611781390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00808200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.