Individual provider Active NPI

David Tse

  • Family Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1720462484
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
296595 Issued in NY
Practice address
101 St. Andrews Lane
Nslij-Glen Cove Hospital
Glen Cove, NY 11542
Phone
(516) 674-7631
Fax
(516) 674-7639
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 296595 NY Primary

Addresses

Primary practice location

101 St. Andrews Lane
Nslij-Glen Cove Hospital
Glen Cove, NY 11542

Mailing address

101 St. Andrews Lane
Nslij-Glen Cove Hospital
Glen Cove, NY 11542
Phone (516) 674-7631

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
I20190130002089 NY Practitioner - Family PracticePractitioner - Internal Medicine 6800133760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
RM 8 632
Buffalo, NY 14220-2039
Phone (716) 828-2434

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Medical Group P.C. CurrentSince May 1, 2023 Accepting new patients
Cogent Medical Care PC Family Medicine CurrentSince Dec 12, 2018 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Infinity Medical of Wny PC CurrentSince May 1, 2023 Accepting new patients
Kaleida Health Past Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Organizations & group practices 6

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 8

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1720462484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ST. ANDREWS LANE",
            "address_2": "NSLIJ-GLEN COVE HOSPITAL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-674-7631",
            "fax_number": "516-674-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ST. ANDREWS LANE",
            "address_2": "NSLIJ-GLEN COVE HOSPITAL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-674-7631",
            "fax_number": "516-674-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.