David Podwall, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

218672-1 Issued in NY

Practice address

1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2057

Phone

(516) 466-4700

Fax

(516) 466-4810

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Albert Einstein College of Medicine of Yeshiva University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurological Associates of Long Island, PCGroup PAC ID 9234028788, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

84.68 of 100Reported as group

Quality

72.69

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neurological Associates of Long Island, PC

  • Neurology Physician
  • Lake Success, NY
  • NPI 1629013495

  Specialist

  Medicare reassignment Care Compare group NPD

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

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1124072418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODWALL",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "218672",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "218672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Tomy Paul, NP
• Elliot J Pellman, MD
• Perry J Milman MD PC
• Personal Touch Home Care of New York, Inc.
• Gail Phillips, M.D.
• Harvey B Pollak, MD
• Ekaterina Potapova
• Prohealth Care Associates LLP
• Juanita Punwaney, MD
• Marisa Ranire Maguire, MD

• Neurology Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.