Individual provider Active NPI

Dulce M Almanzar, M.D.

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1760458715
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223428 Issued in NY
Practice address
1377 5TH Ave
Bay Shore, NY 11706-4131
Phone
(631) 647-3265
Fax
(631) 647-3266
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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 223428 NY Primary

Addresses

Primary practice location

1377 5TH Ave
Bay Shore, NY 11706-4131

Mailing address

152 Geneva St
Bay Shore, NY 11706-4636
Phone (631) 647-3265

Other identifiers 5

IdentifierTypeStateIssuer
051206000006OtherFIDELIS
223428POtherHIP HEALTHCARE OF NY
P2866471OtherOXFORD HEALTH PLAN
5508D1OtherNYEMPIRE BLUE CROSS BLUE SH
02440893MedicaidNY

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
I20040315000165 NY Practitioner - Family Practice 5890684112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

375 E Main St
Suite 21
Bay Shore, NY 11706-8418
Phone (631) 751-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Jan 1, 2022 Accepting new patients
Jay B Stambler MD Medical PC Current Accepting new patients

Locations

1377 5th Ave
Bay Shore, NY 11706
Phone (631) 336-7327

375 E Main St
Ste 21
Bay Shore, NY 11706
Phone (516) 968-8288

365 E Montauk Hwy
Patchogue, NY 11772
Phone (631) 654-7370

178 W Main St
Patchogue, NY 11772
Phone (631) 438-0333

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Organizations & group practices 2

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 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1760458715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 GENEVA ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064636",
            "telephone_number": "631-647-3265",
            "fax_number": "631-647-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064131",
            "telephone_number": "631-647-3265",
            "fax_number": "631-647-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMANZAR",
        "first_name": "DULCE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051206000006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTHCARE OF NY",
            "identifier": "223428P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2866471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "5508D1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02440893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.