Active NPI
Daniel R. Landolphi, MD
- Cardiovascular Disease Physician
- Deer Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 186182
- Practice address
- 1920 Deer Park Ave
Suite104
Deer Park, NY 11729-3314 - Phone
- (631) 392-1680
- Fax
- (631) 392-1683
- NPI assigned
- Jul 26, 2006
- Last updated
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 186182 | NY | Primary |
Addresses
Primary practice location
1920 Deer Park Ave
Suite104
Deer Park, NY 11729-3314
Mailing address
1920 Deer Park Ave
Suite104
Deer Park, NY 11729-3314
Phone (631) 392-1680
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlandolphi222160@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York Medical College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
402 Potter Blvd
Brightwaters, NY 11718-1830
Phone (631) 587-1800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| CHS Physician Partners, P.C | Cardiovascular Disease | Past | Accepting new patients |
| Medical Group of Mineola, PC | Past | Accepting new patients | |
| Winthrop Community Medical Affiliates PC | Cardiovascular Disease | Past | Accepting new patients |
| Sunrise Family Medical, PC | Past | Accepting new patients |
Locations
39 Brentwood Rd
Ste 101
Bay Shore, NY 11706
Phone (631) 590-7400
402 Potter Blvd
Brightwaters, NY 11718
Phone (631) 689-1400
300 Community Dr
Manhasset, NY 11030
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- daniellandolphi@nslijmedgr.allscriptsdirect.net
- dlandolphi222160@nyumc.direct-ci.com
Organizations & group practices 7
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Deer Park, NY
- NPI 1568760072
-
- Cardiovascular Disease Physician
- Deer Park, NY
- NPI 1588846703
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Winthrop Psychiatry Group
- Psychiatry Physician
- Mineola, NY
- NPI 1255798096
-
- Family Medicine Physician
- Oakdale, NY
- NPI 1932379914
-
dba NYU Winthrop Medical Affiliates
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
Cardiovascular Disease
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1619991734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 DEER PARK AVE",
"address_2": "SUITE104",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293314",
"telephone_number": "631-392-1680",
"fax_number": "631-392-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 DEER PARK AVE",
"address_2": "SUITE104",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293314",
"telephone_number": "631-392-1680",
"fax_number": "631-392-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDOLPHI",
"first_name": "DANIEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "186182",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlandolphi222160@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1920 Deer Park Ave",
"address_2": "Suite104",
"city": "Deer Park",
"state": "NY",
"country_code": "US",
"postal_code": "117293314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.