Individual provider Active NPI

David Pfeffer, M.D.

  • Diagnostic Radiology Physician
  • West Islip, NY
National Provider Identifier
1205819117
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
222296-2 Issued in NY
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Nov 23, 2005
Last updated
Aug 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 222296-2 NY Primary

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

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
I20040607000486 NY Practitioner - Diagnostic Radiology 7517949175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

2020 Wantagh Ave
Mount Sinai Doctors Wantagh
Wantagh, NY 11793-3931
Phone (516) 961-4545

440 Merrick Rd
Oceanside, NY 11572-1404
Phone (516) 632-4656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.76 of 100Reported as individual
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222296-2NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 23, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince May 1, 2024 Accepting new patients
South Nassau Communities Hospital Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Oct 23, 2025 Accepting new patients
Brookhaven Memorial Hospital Medical Center Diagnostic Radiology Past Accepting new patients
Alpha Magnetic Resonance Imaging, PC Diagnostic Radiology Past Accepting new patients
Advanced MRI, PC - Raytel Medical Imaging-Bronx Past Accepting new patients

Locations

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

185 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-9555

440 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-8220

119 N Park Ave
Ste 101
Rockville Ctr, NY 11570
Phone (516) 255-9555

2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 961-4519

Networks

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

Interoperability endpoints

  • Direct secure messaging: davidpfeffer@snch.allscriptsdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 8

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1205819117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "222296-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.