Individual provider Active NPI

David B Kessler, D.O.

  • Dermatology Physician
  • Massapequa, NY
National Provider Identifier
1255442232
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
171086 Issued in NY
Practice address
70 Grand Ave
Massapequa, NY 11758-4906
Phone
(516) 799-1600
Fax
(516) 799-1454
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 171086 NY Primary

Addresses

Primary practice location

70 Grand Ave
Massapequa, NY 11758-4906

Mailing address

70 Grand Ave
Massapequa, NY 11758-4906
Phone (516) 799-1600

Other identifiers 1

IdentifierTypeStateIssuer
01503988MedicaidNY

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
I20041123001110 NY Practitioner - Dermatology 7517922099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massapequa Dermatology PLLCGroup PAC ID 2769637941, 6 clinicians

Practice addresses (Care Compare)

70 Grand Ave
Massapequa, NY 11758-4906
Phone (516) 799-1600

Merit-based Incentive Payment System (MIPS)

Final score
74.31 of 100Reported as individual
Quality
48.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1504
Removal of nail tissue1-10
Removal or shaving of skin growth45
Skin biopsy413

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massapequa Dermatology PLLC Dermatology CurrentSince Feb 20, 2013 Accepting new patients
Island Dermatology, PC Dermatology PastSince Feb 20, 2013 Accepting new patients

Locations

70 Grand Ave
Massapequa, NY 11758
Phone (516) 799-1600

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1255442232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584906",
            "telephone_number": "516-799-1600",
            "fax_number": "516-799-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584906",
            "telephone_number": "516-799-1600",
            "fax_number": "516-799-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "171086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.