Christopher Dandona, RPA
Individual provider Active NPI Medical Physician Assistant · Oakdale, NY
NPI 1093978082 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1093978082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 010872 (NY)
- Practice address
- 4568 Sunrise Hwy
Oakdale, NY 11769-1012 - Phone
- (631) 472-6000
- Fax
- (631) 472-9777
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Services PC
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000
Hospital & facility affiliations
- Chsli St Joseph Hospital
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 |
|---|---|---|---|---|
| I20090630000067 | NY | Practitioner - Physician Assistant | 8426109620 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010872 | NY | MD | Mental Health Counselor |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Family Medical, PC | Past |
Accepting new patients | |
| Island Medical Physicians, PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010872 | NY | Yes |
Addresses
Primary practice location
4568 Sunrise Hwy
Oakdale, NY 11769-1012
Mailing address
4568 Sunrise Hwy
Oakdale, NY 11769-1012
Phone (631) 472-6000
Other providers in Oakdale, NY
- Joann Cullam
- Susan Cusmano
- Eileen D'Amico
- Valerie D'Antonio
- Heather Leigh Dallas
- Rita Elizabeth Debiase
- Kathleen Ann Defilippo
- Dorianne Delgado
- Jennifer Marie Deshler
- Deborah Ann Dimarzo
All providers in Oakdale, 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 Jul 9, 2008. 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.