Individual provider Active NPI

David Carmili, M.D.

  • Pediatrics Physician
  • Ridgewood, NY
National Provider Identifier
1497856942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
171109 Issued in NY
Practice address
714 Seneca Ave
Ridgewood, NY 11385-2895
Phone
(718) 386-6663
Fax
(718) 386-3079
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 171109 NY Primary

Addresses

Primary practice location

714 Seneca Ave
Ridgewood, NY 11385-2895

Mailing address

714 Seneca Ave
Ridgewood, NY 11385-2895
Phone (718) 386-6663

Other identifiers 1

IdentifierTypeStateIssuer
01023972MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080318000140 NY Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Family Practice 7517042401 Reassigns benefits to 2 organizations
Practice locations: Ridgewood, NY
I20230225000274 PA Practitioner - Pediatric MedicinePractitioner - Family Practice 7517042401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 W Somerville Ave
Apt B
Philadelphia, PA 19141-2909
Phone (718) 386-6663

714 Seneca Ave
Ridgewood, NY 11385-3511
Phone (718) 386-6663

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Carmili Physician PC CurrentSince Jul 2, 2022 Accepting new patients
Woodbine Medical PC CurrentSince Nov 24, 2011 Accepting new patients

Locations

126 Old Castle Point Rd
Wappingers Falls, NY 12590
Phone (347) 988-5822

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497856942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-386-6663",
            "fax_number": "718-386-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852895",
            "telephone_number": "718-386-6663",
            "fax_number": "718-386-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMILI",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.