Active NPI
David J Prince, P.A.
- Physician Assistant
- Oceanside, NY
National Provider Identifier
1649483827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008202
- Practice address
- 1 Healthy Way
Oceanside, NY 11572-1551 - Phone
- (516) 632-3418
- Fax
- (516) 336-2943
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008202 | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Oceanside, NY 11572-1551
Mailing address
19941 21St Ave
Whitestone, NY 11357-4119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008202 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649483827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19941 21ST AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-632-3418",
"fax_number": "516-336-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "DAVID",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
- Pamela Dawn Portnoy-Saitta, D.O.
- David Portnoy
- Louis Potters, MD
- Gail C Power, FNP
- Premier Care Transport Group LLC
- Priority One Therapy PT OT SLP PLLC (@Home Therapy)
- Professional Occupational & Physical Therapy, PLLC
- Prohealth Dental PLLC
- Diana Kaye Prylucki-Rugolo, M.S.
- Psychological Services Associate PC (Hewlett Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.