Active NPI
David Silverstein, MD
- Dermatology Physician
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 265750-1
- Practice address
- Suffolk Dermatology - 500 Portion Rd Ste 11
Ronkonkoma, NY 11779 - Phone
- (631) 648-0101
- Fax
- (631) 648-0191
- NPI assigned
- Apr 7, 2009
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 265750-1 | NY | Primary |
Addresses
Primary practice location
Suffolk Dermatology - 500 Portion Rd Ste 11
Ronkonkoma, NY 11779
Mailing address
Suffolk Dermatology - 500 Portion Rd Ste 11
Ronkonkoma, NY 11779
Phone (631) 648-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03588869 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- State University of New York at Stony Brook, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 Portion Rd
Suite 11
Ronkonkoma, NY 11779-4587
Phone (631) 648-0101
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.03 of 100
- Quality
- 74.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 305 |
| Removal of skin lesions | 3148 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 27 |
| Skin biopsy | 1101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265750-1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suffolk Dermatology PC | Dermatology | Current | Accepting new patients |
| Peter a Klein, MD, Faad, PC | Dermatology | Past | Accepting new patients |
Locations
1190 Old Country Rd
Ste 1
Riverhead, NY 11901
Phone (631) 648-0101
500 Portion Rd
Ste 11
Ronkonkoma, NY 11779
Phone (631) 484-0101
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIJBDD
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.
-
- Dermatology Physician
- Ronkonkoma, NY
- NPI 1508234113
-
- Dermatology Physician
- Port Jefferson Station, NY
- NPI 1902837396
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1295978252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUFFOLK DERMATOLOGY - 500 PORTION RD STE 11",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-648-0101",
"fax_number": "631-648-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUFFOLK DERMATOLOGY - 500 PORTION RD STE 11",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-648-0101",
"fax_number": "631-648-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERSTEIN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "265750-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03588869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.