DR. DAVID NATHAN (NPI# 1437240223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437240223 |
| Entity Type | Individual |
| Full Name | DR. DAVID NATHAN |
| Credential | D.D.S. |
| Practice Address |
3 Medical Dr Suite D Port Jefferson Station NY 11776-1597 |
| Mailing Address |
2 Amherst Ct Setauket NY 11733-1102 |
| Practice Telephone | 6319287500 |
| Practice Fax Number | 6319287501 |
| Mailing Telephone | 6317517580 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
027313-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285610972 | David Harris Nathan | Dermatology | 1016 Ponce De Leon Blvd, Suite 7, Clearwater, FL 33756-1073 | 2005-12-15 |
| 1710354345 | David Nathan | Psychologist | 10535 165th St W, Lakeville, MN 55044-5729 | 2015-08-31 |
| 1487717179 | David G Nathan | Pediatrics | 44 Binney St, Suite 1644, Dana Farber Cnacer Institute, Boston, MA 02115-6013 | 2006-12-18 |
| 1578646568 | David Nathan | Chiropractor | 698 E Wetmore Rd, Suite 460, Tucson, AZ 85705-1751 | 2006-10-23 |
| 1578652517 | David Lawrence Nathan | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540-2757 | 2006-10-11 |
| 1194731240 | David Jay Nathan | Specialist | 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 | 2006-07-31 |
| 1891748141 | David A. Nathan | Emergency Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2006-05-18 |
| 1831140607 | David H Nathan | Radiology | 221 Ne Glen Oak Ave, Radiology Dept, Peoria, IL 61636-0001 | 2006-05-15 |
| 1902887458 | David Matthew Nathan | Internal Medicine | 50 Staniford St, 3rd Floor S50 3, Boston, MA 02114-2517 | 2005-11-10 |
| 1619963998 | David Levi Nathan | Dermatology | 8244 E Us Highway 36, Suite 1220, Avon, IN 46123-9613 | 2005-09-22 |
| Street Address |
3 MEDICAL DR SUITE D |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366896466 | Victoria E. Shack, Dds, PC | Dentist | 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1597 | 2016-04-15 |
| 1720264252 | Theodore Randolph,dpm | Podiatrist | 3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 | 2008-01-15 |
| 1831197318 | Theodore John Randolph | Podiatrist | 3 Medical Dr, Suite C, Port Jefferson Station, NY 11776-1597 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689845240 | John Damaskos | Dentist | 2 Morgan Ave, Port Jefferson Station, NY 11776-2017 | 2008-03-21 |
| 1497951982 | Hamid Jabbary | Dentist | 488 Terryville Rd, Port Jefferson Station, NY 11776-2960 | 2007-06-22 |
| 1033231295 | Drs. Witrock & Axelrod, LLP | Dentist | 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776-2060 | 2007-04-06 |
| 1245362243 | Donald Dodge | Dentist | 492 Old Town Rd, Port Jefferson Station, NY 11776-2249 | 2007-03-12 |
| 1821124181 | Arif S Izmirligil | Dentist | 4665 Nesconset Hwy, Port Jefferson Station, NY 11776 | 2007-02-23 |
| 1558437939 | Gerald Cole | Dentist | 10 Medical Dr, Port Jefferson Station, NY 11776-1590 | 2006-11-28 |
| 1831515329 | Nishi Patel | Dentist | 492 Old Town Rd, Port Jefferson Station, NY 11776-2249 | 2014-03-09 |
| 1114364809 | Peter S. Felpo | Dentist | 5225 Rte 347, Suite 52, Port Jefferson Station, NY 11776-2053 | 2013-06-04 |
| 1316280571 | Diane Jane Axelrod | Dentist | 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776-2060 | 2013-04-05 |
| 1942562376 | Concerned Dental Care of Port Jefferson, Pllc | Dentist | 492 Old Town Road, Port Jefferson Station, NY 11776 | 2012-06-12 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on DR. DAVID NATHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.