Individual provider Active NPI

David Samson Dayan-Rosenman, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1992083885
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
272914 Issued in NY
Practice address
495 Flatbush Ave # C5
Brooklyn, NY 11225-3706
Phone
(833) 904-2273
Fax
(720) 815-0307
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272914 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 272914 NY Primary

Addresses

Primary practice location

495 Flatbush Ave # C5
Brooklyn, NY 11225-3706

Mailing address

495 Flatbush Ave # C5
Brooklyn, NY 11225-3706
Phone (833) 904-2273

Other identifiers 1

IdentifierTypeStateIssuer
04251112MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, MA, IL, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160304000307 NY Practitioner - Internal MedicinePractitioner - Addiction Medicine 4385940113 Reassigns benefits to 2 organizations
I20220627003467 NC Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Preventive Medicine 4385940113 Reassigns benefits to 1 organization
I20220628002111 MA Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Preventive Medicine 4385940113 Reassigns benefits to 3 organizations
I20240207002256 IL Practitioner - Internal Medicine 4385940113 Reassigns benefits to 1 organization
I20240328002275 FL Practitioner - Psychiatry 4385940113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Preventive Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cambridge Public Health CommissionGroup PAC ID 8921910894, shared by 4 NPIs, 654 clinicians

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Hospital & facility affiliations

  • Cambridge Health Alliance Hospital, Cambridge, MA, CCN 220011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272914NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 20, 2015 Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 10, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Mar 1, 2020 Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 10, 2024 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Dec 20, 2015 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

163 Gore St
East Cambridge, MA 02141
Phone (617) 499-6690

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

111 E 210th St
Bronx, NY 10467

871 Prospect Ave
Bronx, NY 10459
Phone (718) 991-0605

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Interoperability endpoints

  • Direct secure messaging: ddayanrosenman122673@direct.challiance.masshiway.net
  • Direct secure messaging: ddayanrosenman1273752@nychhc.direct-ci.com
  • Direct secure messaging: david.dayan-rosenman.1@17251.direct.athenahealth.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 8

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 2

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1992083885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE # C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "833-904-2273",
            "fax_number": "720-815-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE # C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "833-904-2273",
            "fax_number": "720-815-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYAN-ROSENMAN",
        "first_name": "DAVID",
        "middle_name": "SAMSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272914",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "272914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04251112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.