Dov Statfeld, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

171621 Issued in NY

Practice address

370 E Park Ave
Long Beach, NY 11561-3620

Phone

(516) 431-1852

Fax

(516) 889-0357

NPI assigned

Jan 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dstatfeld301136@northwell.direct-ci.com

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.

• Internal Medicine Associates of Long Beach

  • Internal Medicine Physician
  • Long Beach, NY
  • NPI 1174784524
  NPD (past) Authorized official

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1104804855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613620",
            "telephone_number": "516-431-1852",
            "fax_number": "516-889-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613620",
            "telephone_number": "516-431-1852",
            "fax_number": "516-889-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATFELD",
        "first_name": "DOV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01141877",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Squillace, M.A.
• Mary Squillace, OT
• Leonard I Stambler, MD
• Eva M Stanger, R PH
• Jeffrey Mark Stanger, D.C.
• Cassandra Stegman
• Faith Steinberg
• Nigia Stephens, LMT
• Steven M. Harris, M.D.
• Steven Welsher

• Internal Medicine Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.