DR. DAVID JOHN DAVIS II D.O.
NPI 1104084862
Family Medicine in New York, NY

Q: What is David Davis's NPI number?

The NPI number for David Davis is 1104084862. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is David Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Davis was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment

255 E HOUSTON ST, NEW YORK, NY 10002(212) 477-1120(212) 477-8957 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. David John Davis Ii D.o. NPPES

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

DR. DAVID JOHN DAVIS II D.O. (NPI 1104084862) is an individual family medicine provider in New York, New York, licensed in New York (256174) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1104084862

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DAVID JOHN DAVIS IICredential: D.O.

Location Address255 E HOUSTON STNew York, NY 10002-1013

Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2400 · Fax (212) 463-8411

Phone(212) 477-1120

Fax(212) 477-8957

Sole ProprietorYes

Medical School CMSOtherGraduated 1973

Enumeration DateMay 29, 2008

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 10, 2024

✔ NPI 1104084862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NY · 256174✔ Licensed in PA · OS 2964-L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License OS 2964-L (PA)

255 E HOUSTON ST, New York, NY 10002

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Secondary Practice Locations 13

Location 1511 W 157TH STNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963

Location 2504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130

Location 31880 Bathgate AveBronx, NY 10457-6259 · Phone (718) 294-5891 · Fax (718) 294-2468

Location 494-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741

Location 5975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829

Location 6999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795

Location 781 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367

Location 8350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556

Location 96610 lower state roadnew hope, PA 18938 · Phone (215) 862-2456

Location 101167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169

Location 1136-11 21st StLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (212) 482-9648

Location 1289-44 164th StJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833

Location 132581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David John Davis Ii D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173058971

PECOS Enrollment IDI20241202003205

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

ELLEN HOLLANDER-SANDE FNP

Nurse Practitioner (Family)