Individual provider Active NPI

David M. Dunaief, M.D.

  • Internal Medicine Physician
  • Port Jefferson, NY
National Provider Identifier
1962709576
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240403 Issued in NY
Practice address
12 Elm St
Port Jefferson, NY 11777-2153
Phone
(917) 837-9451
Fax
(718) 228-7365
NPI assigned
Feb 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240403 NY Primary

Addresses

Primary practice location

12 Elm St
Port Jefferson, NY 11777-2153

Mailing address

12 Elm St
Port Jefferson, NY 11777-2153
Phone (917) 837-9451

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
I20120207000000 NY Practitioner - Internal Medicine 8325205107 Practice locations: East Setauket, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

47 Route 25a
Suite 1
East Setauket, NY 11733-2881

47 Route 25a 1
Setauket, NY 11733-2881
Phone (631) 380-2888

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1962709576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772153",
            "telephone_number": "917-837-9451",
            "fax_number": "718-228-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELM ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772153",
            "telephone_number": "917-837-9451",
            "fax_number": "718-228-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAIEF",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.