Individual provider Active NPI

David L Hirsch, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1124038427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
048346 Issued in NY
Practice address
366 5TH Ave
Suite 709
New York, NY 10001-2211
Phone
(212) 629-3223
Fax
(212) 629-3466
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 048346 NY Primary

Addresses

Primary practice location

366 5TH Ave
Suite 709
New York, NY 10001-2211

Mailing address

366 5TH Ave
Suite 709
New York, NY 10001-2211
Phone (212) 629-3223

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
I20070831000687 NY Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Surgical Oncology 8325141310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery, Surgical Oncology
Education
New York University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
White Hall Dental, PCGroup PAC ID 2567820137, 10 clinicians
Lenox Otolaryngology Head and Neck Surgery PCGroup PAC ID 3072699479, 3 clinicians
Black Hall Dental PCGroup PAC ID 6901283308, 8 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (516) 304-7362

186 E 76TH St
FL 2
New York, NY 10021-2822
Phone (212) 434-2323

1999 Marcus Ave
Suite M1
New Hyde Park, NY 11042-1023
Phone (516) 562-2470

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7110

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048346NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Healthcare Current Accepting new patients
White Hall Dental, PC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2023 Accepting new patients
Black Hall Dental, P.C. Oral and Maxillofacial Surgery CurrentSince Dec 7, 2024 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Mar 6, 2021 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Mar 6, 2021 Accepting new patients
Black Hall Dental, P.C. Oral and Maxillofacial Surgery CurrentSince Dec 7, 2024 Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

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

10 Medical Plz
Ste 210
Glen Cove, NY 11542
Phone (516) 671-2903

10 Medical Plz
Ste 202
Glen Cove, NY 11542
Phone (516) 609-9494

1999 Marcus Ave
Ste M1
New Hyde Park, NY 11042
Phone (516) 437-0249

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

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

Interoperability endpoints

  • Direct secure messaging: dhirsch51483@northwell.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124038427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 5TH AVE",
            "address_2": "SUITE 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223",
            "fax_number": "212-629-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 5TH AVE",
            "address_2": "SUITE 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223",
            "fax_number": "212-629-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.