Individual provider Active NPI

Daniel M Birk, MD

  • Neurological Surgery Physician
  • Commack, NY
National Provider Identifier
1578880274
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
287264 Issued in NY
Practice address
353 Veterans Memorial Hwy
Commack, NY 11725-4200
Phone
(631) 983-8400
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 287264 NY Primary

Addresses

Primary practice location

353 Veterans Memorial Hwy
Commack, NY 11725-4200

Mailing address

1991 Marcus Ave Ste 108
New Hyde Park, NY 11042-2062
Phone (516) 442-2250

Other practice location 1

1500 Route 112 Ste 8A
Port Jefferson Station, NY 11776-8053
Phone (631) 983-8400

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
I20170512000891 NY Practitioner - Neurosurgery 2163732256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

Practice addresses (Care Compare)

1175 Montauk Hwy
Suite 3
West Islip, NY 11795-4939
Phone (631) 500-9400

1175 Montauk Hwy 3
West Islip, NY 11795-4939

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 500-9400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion74
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287264NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince Dec 1, 2019 Accepting new patients
Nitin Mariwalla MD PLLC Neurological Surgery CurrentSince Nov 1, 2024 Accepting new patients
NSPC Plastics PastSince Dec 1, 2019 Accepting new patients

Locations

353 Veterans Memorial Hwy
Ste 303
Commack, NY 11725
Phone (516) 441-5739

1991 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 442-2250

1500 Route 112
Ste 8A
Port Jefferson Station, NY 11776
Phone (631) 983-8400

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

1175 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 433-1159

Organizations & group practices 3

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 3

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1578880274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422062",
            "telephone_number": "516-442-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254200",
            "telephone_number": "631-983-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Route 112 Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117768053",
            "country_code": "US",
            "telephone_number": "631-983-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRK",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "287264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.