Individual provider Active NPI

David F Tassy, NP

  • Adult Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1922789155
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311430 Issued in NY
Practice address
80 Crescent Ave
Staten Island, NY 10301-1421
Phone
(347) 526-6071
NPI assigned
Jul 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311430 NY Primary

Addresses

Primary practice location

80 Crescent Ave
Staten Island, NY 10301-1421

Mailing address

80 Crescent Ave
Staten Island, NY 10301-1421
Phone (347) 526-6071

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205000690 NY Practitioner - Nurse Practitioner 0345733507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13640 Briarwick Dr
Suite 110
Austin, TX 78729-1706

2155 E Liberty LN Apt
Suite 363
Phoenix, AZ 85048-8143

5402 Fort Hamilton Pkwy
FL 6
Brooklyn, NY 11219-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311430NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Oct 2, 2025 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1025 48th St
Brooklyn, NY 11219
Phone (718) 283-7353

Organizations & group practices 1

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1922789155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CRESCENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011421",
            "telephone_number": "347-526-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CRESCENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011421",
            "telephone_number": "347-526-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSY",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.