Individual provider Active NPI

Dean Paul Pappas, MD

  • Specialist
  • Garden City, NY
National Provider Identifier
1942205901
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
205432-1 Issued in NY
Practice address
1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221
Phone
(516) 248-2422
Fax
(516) 248-5162
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 205432-1 NY Primary

Addresses

Primary practice location

1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221

Mailing address

1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221
Phone (516) 248-2422

Other identifiers 13

IdentifierTypeStateIssuer
9141819OtherNYPHCS
9610114OtherNYGHI
AA71795OtherNYMDNY
00000093438OtherNYBEECHSTREET
2819678OtherNYAETNA
7006141OtherNYAETNA MC & PPO
030438737OtherNYUNITED-EMPIRE PLAN
107177OtherNYVYTRA
2J3731OtherNYBC/BS
2085293OtherNYFIRST HEALTH
P2214630OtherNYOXFORD
33250-POtherNYHIP
4C1304OtherNYPHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051217000023 NY Practitioner - Colorectal Surgery (Proctology) 0648291674 Reassigns benefits to 1 organization
I20240501003327 FL Practitioner - Colorectal Surgery (Proctology) 0648291674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1100 Franklin Ave
Suite 203
Garden City, NY 11530-1601
Phone (516) 248-2422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy317
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205432-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince May 1, 2021 Accepting new patients
Colon & Rectal Associates of Nassau, PLLC Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince May 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2024 Accepting new patients
Gastro Operating Company LLC PastSince May 11, 2008 Accepting new patients

Locations

600 University Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 627-2210

1100 Franklin Ave
Ste 203
Garden City, NY 11530
Phone (516) 248-2422

901 Stewart Ave
Ste 205
Garden City, NY 11530
Phone (516) 248-0595

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

510 Broadhollow Rd
Melville, NY 11747
Phone (516) 248-2422

2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 248-2422

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

Networks

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

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.

Hospital & facility affiliations 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1942205901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "SUITE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "SUITE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "DEAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "205432-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9141819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9610114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AA71795",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "00000093438",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2819678",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC & PPO",
            "identifier": "7006141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED-EMPIRE PLAN",
            "identifier": "030438737",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "107177",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "2J3731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2085293",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2214630",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "33250-P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "4C1304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.