Individual provider Active NPI

David Resnick

  • Allergy Physician
  • West Nyack, NY
National Provider Identifier
1922064435
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
173338 Issued in NY
Practice address
2 Crosfield Ave Ste 406
West Nyack, NY 10994-2212
Phone
(845) 353-9600
Fax
(973) 248-9299
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 173338 NY
Pediatric Allergy/Immunology Physician 2080P0201X 173338 NY
Allergy Physician 207KA0200X 173338 NY Primary

Addresses

Primary practice location

2 Crosfield Ave Ste 406
West Nyack, NY 10994-2212

Mailing address

2 Crosfield Ave Ste 406
West Nyack, NY 10994-2212
Phone (845) 353-9600

Other identifiers 3

IdentifierTypeStateIssuer
01726521MedicaidNY
0064483MedicaidNJ
A400070039OtherNYMEDICARE PTAN

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
I20050322000182 NY Practitioner - Allergy/Immunology 1951356070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Crosfield Ave
Suite 406
West Nyack, NY 10994-2212
Phone (845) 353-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173338NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. Allergy CurrentSince Jul 9, 2012 Accepting new patients
Allergy & Asthma Consultants of Rockland and Bergen PC Allergy CurrentSince Dec 18, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 9, 2012 Accepting new patients
Luzato Medical Group P.C. Past Accepting new patients
Luzato Medical Group, P.C. Past Accepting new patients

Locations

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2507 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-2287

2 Crosfield Ave
Ste 406
West Nyack, NY 10994
Phone (845) 353-1247

2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511

2 Crosfield Ave
Ste 421
West Nyack, NY 10994
Phone (845) 353-1161

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: dresnick141207@direct.optum.com

Organizations & group practices 5

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1922064435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE STE 406",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942212",
            "telephone_number": "845-353-9600",
            "fax_number": "973-248-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE STE 406",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942212",
            "telephone_number": "845-353-9600",
            "fax_number": "973-248-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "173338",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "173338",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "173338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01726521",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064483",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400070039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.