Active NPI
Irwin Marvin Dannis, M.D.
- Internal Medicine Physician
- Hartsdale, NY
National Provider Identifier
1245587005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 086265-1
- Practice address
- 31 Club Way
Hartsdale, NY 10530-3614 - Phone
- (914) 725-5809
- NPI assigned
- Aug 12, 2012
- Last updated
- Aug 12, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 086265-1 | NY | Primary |
Addresses
Primary practice location
31 Club Way
Hartsdale, NY 10530-3614
Mailing address
31 Club Way
Hartsdale, NY 10530-3614
Phone (914) 725-5809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086265-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344729600000",
"number": "1245587005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CLUB WAY",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303614",
"telephone_number": "914-725-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CLUB WAY",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303614",
"telephone_number": "914-725-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNIS",
"first_name": "IRWIN",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-12",
"last_updated": "2012-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "086265-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.