Individual provider Active NPI

Daniel R. Landolphi, MD

  • Cardiovascular Disease Physician
  • Deer Park, NY
National Provider Identifier
1619991734
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
186182 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000514 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 2668449992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Jul 24, 2023 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 PastSince Apr 1, 2005 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

  • Direct secure messaging: daniellandolphi@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.