Organization Active NPI

David Michael Horowitz, MD PC

  • Internal Medicine Physician
  • Smithtown, NY
National Provider Identifier
1487951968
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
142369 Issued in NY
Legal business name
DAVID MICHAEL HOROWITZ, MD PC
Practice address
2 Brooksite Dr
Suite210
Smithtown, NY 11787-3492
Phone
(631) 724-4048
Fax
(631) 780-6899
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
David Michael Horowitz, MDNPI 1811901200
Title
President
Phone
(631) 724-4048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 142369 NY Primary

Addresses

Primary practice location

2 Brooksite Dr
Suite210
Smithtown, NY 11787-3492

Mailing address

2 Brooksite Dr
Suite210
Smithtown, NY 11787-3492
Phone (631) 724-4048

Other identifiers 1

IdentifierTypeStateIssuer
007735973MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000000 NY Part B Supplier - Clinic/Group Practice 3072799907 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2017699David Michael Horowitz, MD PC2 Brooksite Drive Suite 210, Smithtown, NY 11787Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1487951968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR",
            "address_2": "SUITE210",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "631-724-4048",
            "fax_number": "631-780-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR",
            "address_2": "SUITE210",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "631-724-4048",
            "fax_number": "631-780-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MICHAEL HOROWITZ, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-4048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "142369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007735973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.