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MR. RICHARD DECLUE PA
NPI 1093769416
Physician Assistant in West Islip, NY

Active since May 20, 2006
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard Declue Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD DECLUE PA (NPI 1093769416) is an individual physician assistant in West Islip, New York, licensed in New York (001473) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1093769416
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RICHARD DECLUECredential: PA
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing AddressPo Box 6010Hauppauge, NY 11788-9010 · (631) 232-4000 · Fax (631) 851-9225
Phone(631) 376-3000
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1093769416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 001473
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 MONTAUK HWY, West Islip, NY 11795
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Other Identifiers 2

Medicare UPINS78097NY
Medicare PIN0F3191NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Declue's NPI number?

The NPI number for Richard Declue is 1093769416. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Richard Declue located?

Richard Declue practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Richard Declue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Declue was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.