Individual provider Active NPI

Irfan David

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1154763639
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343321 Issued in NY
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

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816000225 NY Practitioner - Nurse Practitioner 5890022636 Reassigns benefits to 2 organizations

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
Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

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

LicenseStateTypeSpecialty
669001NYMDRegistered Nurse
343321NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Services PLLC CurrentSince Mar 23, 2025 Accepting new patients
Nitin Mariwalla MD PLLC CurrentSince Oct 20, 2025 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.

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

Verify at the official NPI Registry.