Individual provider Active NPI

Neil Jeffrey Dash, M.D.

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1760573398
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170920 Issued in NY
Practice address
515 Broadway
Massapequa, NY 11758-5005
Phone
(516) 799-2700
Fax
(516) 799-8023
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 170920 NY Primary

Addresses

Primary practice location

515 Broadway
Massapequa, NY 11758-5005

Mailing address

515 Broadway
Massapequa, NY 11758-5005
Phone (516) 799-2700

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
I20101118000185 NY Practitioner - Internal Medicine 8628264553 Practice locations: Massapequa, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170920NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahzad Iqbal Physician PLLC PastSince Jan 25, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1760573398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585005",
            "telephone_number": "516-799-2700",
            "fax_number": "516-842-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585005",
            "telephone_number": "516-799-2700",
            "fax_number": "516-799-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASH",
        "first_name": "NEIL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.