Active NPI
Irfan David
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1154763639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343321
- Practice address
- 941 Burke Ave
Bronx, NY 10469-3814 - Phone
- (888) 789-6672
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 669001 | NY | |
| Family Nurse Practitioner | 363LF0000X | 343321 | NY | Primary |
Addresses
Primary practice location
941 Burke Ave
Bronx, NY 10469-3814
Mailing address
941 Burke Ave
Bronx, NY 10469-3814
Phone (347) 607-0172
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Northern Blvd
Suite 103
Great Neck, NY 11021-4058
Phone (631) 500-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669001 | NY | MD | Registered Nurse |
| 343321 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Medical Services PLLC | Current | Accepting new patients | |
| Nitin Mariwalla MD PLLC | Current | Accepting new patients | |
| Nasreen Khan | Past | Accepting new patients |
Locations
55 Northern Blvd
Ste 103
Great Neck, NY 11021
Phone (516) 466-9300
160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400
1175 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 433-1159
Organizations & group practices 3
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 Surgery Physician
- West Islip, NY
- NPI 1659943942
-
- Specialist
- Riverhead, NY
- NPI 1326716887
-
- Nursing Care Agency
- New York, NY
- NPI 1386790251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1154763639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 BURKE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693814",
"telephone_number": "347-607-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 BURKE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693814",
"telephone_number": "888-789-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "IRFAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "669001",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.