Active NPI
Jonathan David, MD
- Gastroenterology Physician
- Tuckahoe, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 178695
- Practice address
- 136 Sagamore Rd
Tuckahoe, NY 10707-4009 - Phone
- (914) 337-6400
- Fax
- (914) 337-8019
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 178695 | NY | Primary |
Addresses
Primary practice location
136 Sagamore Rd
Tuckahoe, NY 10707-4009
Mailing address
136 Sagamore Rd
Tuckahoe, NY 10707-4009
Phone (914) 337-6400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Missouri, Columbia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
136 Sagamore Rd
Tuckahoe, NY 10707-4009
Phone (914) 337-6400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178695 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Gastroenterology | Current | Accepting new patients |
| Jonathan David, MD, PC | Gastroenterology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
5141 Broadway
New York, NY 10034
Phone (212) 932-4000
1 Elm St
Ste 2B
Tuckahoe, NY 10707
Phone (914) 337-6400
136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- davijon@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- jonathan.david.1@24721.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Allied Digestive Health Medical Group of New York
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Gastroenterology Physician
- Tuckahoe, NY
- NPI 1336144104
-
dba Department of Medicine
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1992131320
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1922004241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SAGAMORE RD",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107074009",
"telephone_number": "914-337-6400",
"fax_number": "914-337-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SAGAMORE RD",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107074009",
"telephone_number": "914-337-6400",
"fax_number": "914-337-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "178695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.