Dennis Davidson, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

144519 Issued in NY

Practice address

Stony Brook Long Island Childrens Hospital
HSC 11 Room 060
Stony Brook, NY 11794-8552

Phone

(631) 444-2706

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Blythedale Children'S Hospital

  • Children's Rehabilitation Hospital
  • Valhalla, NY
  • NPI 1679573083
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1497826580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "HSC-11-060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948552",
            "telephone_number": "631-444-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK LONG ISLAND CHILDRENS HOSPITAL",
            "address_2": "HSC 11 ROOM 060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948552",
            "telephone_number": "631-444-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "144519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reza Dashti, M.D.,PH.D.
• Monika Datt, D.O.
• Manasi Dave, MD
• David Morgan LCSW PC
• Jason David, CRNA
• Steven Blake Davidson
• Joanne Davila, PH.D.
• Joel Michael Davis, D.D.S
• Leonie Davis, PT
• Michelle A Davis, RPH

• Neonatal-Perinatal Medicine Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Neonatal-Perinatal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.