Individual provider Active NPI

Robert Cesare D'Avino Jr., M.D.

  • Cardiovascular Disease Physician
  • West Islip, NY
National Provider Identifier
1669748067
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
291528 Issued in NY
Practice address
540 Union Blvd
West Islip, NY 11795-3105
Phone
(631) 669-2555
Fax
(631) 669-5787
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 291528 NY Primary

Addresses

Primary practice location

540 Union Blvd
West Islip, NY 11795-3105

Mailing address

540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555

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
I20180621000904 NY Practitioner - Cardiovascular Disease (Cardiology) 2567717275 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians
Long Island Comprehensive Medical Care PLLCGroup PAC ID 3678731908, 41 clinicians
St Francis HospitalGroup PAC ID 9234101221, 96 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone 6316670388612

540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Cardiovascular Disease CurrentSince Aug 6, 2018 Accepting new patients
CHS Physician Partners, PC CurrentSince Jul 11, 2021 Accepting new patients
Long Island Comprehensive Medical Care PLLC CurrentSince Jan 1, 2024 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Nov 10, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Cardiac Ekg Interpretation, P. C. Cardiovascular Disease CurrentSince Dec 16, 2018 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Jul 11, 2021 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients
Shahzad Iqbal Physician PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

301 E Main St
Bldg 21117
Bay Shore, NY 11706
Phone (631) 968-3100

300 Community Dr
Manhasset, NY 11030

847 N Broadway
Massapequa, NY 11758
Phone (516) 798-0441

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1231 Deer Park Ave
North Babylon, NY 11703
Phone 6316670388612

55 Medford Ave
Unit E
Patchogue, NY 11772
Phone (631) 687-4190

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

382 Rosevale Ave
Ronkonkoma, NY 11779
Phone (631) 472-6000

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

754 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-0909

540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555

Networks

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

Interoperability endpoints

  • Direct secure messaging: robert.davino@lcmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHCCD
  • Direct secure messaging: rdavino109943@direct-chsli.net

Organizations & group practices 10

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 5

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1669748067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-669-2555",
            "fax_number": "631-669-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-669-2555",
            "fax_number": "631-669-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVINO",
        "first_name": "ROBERT",
        "middle_name": "CESARE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "291528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.