Dwayne Blake, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348517 Issued in NY

Practice address

31 Covert Ave # 1030
Floral Park, NY 11001-3216

Phone

(516) 402-0194

Fax

(516) 232-9534

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

WB Homecare Adulltand Family Health NP PLLCGroup PAC ID 8123389715, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• DB Wellness Care NP in Family Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hempstead, NY
  • NPI 1033086798

  Family

  Medicare reassignment NPD Authorized official
• WB Homecare Adullt& Family Health NP PLLC

  • Nurse Practitioner
  • Uniondale, NY
  • NPI 1073063087
  Medicare reassignment Care Compare group NPD
• Medical Group of New York, P.C.

  • Family Nurse Practitioner
  • Eastchester, NY
  • NPI 1487983516
  Medicare reassignment NPD
• DB Wellness Services LLC

  • Family Nurse Practitioner
  • Hempstead, NY
  • NPI 1396612081
  NPD Authorized official

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1194480335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COVERT AVE # 1030",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013216",
            "telephone_number": "516-402-0194",
            "fax_number": "518-933-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COVERT AVE # 1030",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013216",
            "telephone_number": "516-402-0194",
            "fax_number": "516-232-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Uniondale",
            "state": "NY",
            "postal_code": "115531621",
            "country_code": "US",
            "telephone_number": "516-402-0194",
            "fax_number": "516-232-9534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407104",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen D Bettelheim, OTR/L
• Ma Theresa Cruzate Bihasa, PT
• Marilyn A Bird-Drasby
• Glynis Bissainthe-Michel
• Dimitra Bissainthe
• George Francis Blessing, BS, MS
• Rodel Jason Bodiongan, RN
• Abraham G Borenstein, DDS
• Ninane M Boscia
• Bou & Thompson Family Chiropractic Care PLLC

• Family Nurse Practitioner in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.