Individual provider Active NPI

David Jonathan Dagate, M.D.

  • Specialist
  • Smithtown, NY
National Provider Identifier
1790784395
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
224912-1 Issued in NY
Practice address
260 Middle Country Rd
Suite 214
Smithtown, NY 11787-2982
Phone
(631) 265-5050
Fax
(631) 265-3304
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 224912-1 NY Primary

Addresses

Primary practice location

260 Middle Country Rd
Suite 214
Smithtown, NY 11787-2982

Mailing address

260 Middle Country Rd
Suite 214
Smithtown, NY 11787-2982
Phone (631) 265-5050

Other identifiers 1

IdentifierTypeStateIssuer
02636226MedicaidNY

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
I20050614001208 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719921386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 562-6000

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

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 465-6225

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 465-6225

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224912-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince May 3, 2019 Accepting new patients
Cardiac Ekg Interpretation, P. C. CurrentSince Jul 1, 2005 Accepting new patients

Locations

375 E Main St
Ste 26
Bay Shore, NY 11706
Phone (631) 665-2255

1850 Sunrise Hwy
Ste 2
Bay Shore, NY 11706

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

300 Community Dr
Plandome, NY 11030

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

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

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

260 E Middle Country Rd
Ste 214
Smithtown, NY 11787
Phone (631) 265-5050

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: ddagate18959@direct-chsli.net

Organizations & group practices 3

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 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1790784395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 214",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-265-5050",
            "fax_number": "631-265-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 214",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-265-5050",
            "fax_number": "631-265-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGATE",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "224912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02636226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.