Individual provider Active NPI

David Silverstein, MD

  • Dermatology Physician
  • Ronkonkoma, NY
National Provider Identifier
1295978252
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
265750-1 Issued in NY
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

Updated by the provider on Jun 10, 2020

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 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

IdentifierTypeStateIssuer
03588869MedicaidNY

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
I20120525000342 NY Practitioner - Dermatology 5698938850 Reassigns benefits to 1 organization

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 Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
74.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision305
Removal of skin lesions3148
Removal of nail tissue1-10
Removal or shaving of skin growth27
Skin biopsy1101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265750-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Dermatology PC Dermatology CurrentSince Oct 3, 2015 Accepting new patients
Peter a Klein, MD, Faad, PC Dermatology PastSince Apr 6, 2009 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

  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.