Individual provider Active NPI

Alexander Godefridus Jacobus Druif, D.O.

  • Family Medicine Physician
  • Nesconset, NY
National Provider Identifier
1306088406
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
267646 Issued in NY
Practice address
465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone
(631) 676-6700
Fax
(631) 676-6708
NPI assigned
Apr 3, 2009
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 11064 FL
Family Medicine Physician 207Q00000X 267646 NY Primary

Addresses

Primary practice location

465 Smithtown Blvd
Nesconset, NY 11767-2421

Mailing address

465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone (305) 364-2107

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
I20130823000893 NY Practitioner - Family Practice 3577706530 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1555 1St Ave
New York, NY 10028-3903
Phone (212) 897-1991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 11064FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown New York Doctors Urgent Care PLLC CurrentSince Oct 1, 2013 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Apr 1, 2016 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Apr 1, 2017 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince May 20, 2013 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince May 20, 2013 Accepting new patients

Locations

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

1555 1st Ave
New York, NY 10028
Phone (212) 897-1991

205 Lexington Ave
#215
New York, NY 10016
Phone (212) 684-4700

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Interoperability endpoints

  • Direct secure messaging: alexander.druif@ghuc.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1306088406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672421",
            "telephone_number": "305-364-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672421",
            "telephone_number": "631-676-6700",
            "fax_number": "631-676-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUIF",
        "first_name": "ALEXANDER",
        "middle_name": "GODEFRIDUS JACOBUS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 11064",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

Verify at the official NPI Registry.