Individual provider Active NPI

Danielle Flanigan, MD

  • Pediatrics Physician
  • Rockaway Park, NY
National Provider Identifier
1851690374
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
279992 Issued in NY
Practice address
12105 Rockaway Beach Blvd
Rockaway Park, NY 11694-1821
Phone
(718) 412-9980
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 279992 NY Primary

Addresses

Primary practice location

12105 Rockaway Beach Blvd
Rockaway Park, NY 11694-1821

Mailing address

12105 Rockaway Beach Blvd
Rockaway Park, NY 11694-1821
Phone (718) 412-9980

Other practice location 1

1425 Portland Ave
Rochester General Pediatric Associates
Rochester, NY 14621-0001
Phone (585) 922-5878

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
I20150720000408 NY Practitioner - Pediatric Medicine 4789997891 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Jul 1, 2015 Accepting new patients
Peninsula Pediatrics Current Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jul 1, 2015 Accepting new patients

Locations

12105 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 412-9980

11506 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 945-0406

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: dflanigan110255@nyumc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1851690374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941821",
            "telephone_number": "718-412-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941821",
            "telephone_number": "718-412-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_2": "Rochester General Pediatric Associates",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146210001",
            "country_code": "US",
            "telephone_number": "585-922-5878",
            "fax_number": "585-922-2084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANIGAN",
        "first_name": "DANIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-01-02",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "279992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.