MR. DWAYNE BLAKE NP
NPI 1194480335
Nurse Practitioner - Family in Floral Park, NY

Q: What is Dwayne Blake's NPI number?

The NPI number for Dwayne Blake is 1194480335. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Q: What is Dwayne Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dwayne Blake was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 02, 2021PECOS EnrolledAccepts Medicare Assignment

31 COVERT AVE # 1030, FLORAL PARK, NY 11001(516) 402-0194(516) 232-9534 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Dec 27, 2021, Nov 2, 2021 (3 updates tracked since 2021).

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About Mr. Dwayne Blake Np NPPES

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

MR. DWAYNE BLAKE NP (NPI 1194480335) is an individual family provider in Floral Park, New York, licensed in New York (348517) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Uniondale, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194480335

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DWAYNE BLAKECredential: NP

Location Address31 COVERT AVE # 1030Floral Park, NY 11001-3216

Mailing Address31 Covert Ave # 1030Floral Park, NY 11001-3216 · (516) 402-0194 · Fax (518) 933-2531

Phone(516) 402-0194

Fax(516) 232-9534

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 2, 2021

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1194480335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 348517

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 407104 (NY)

31 COVERT AVE # 1030, Floral Park, NY 11001

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Secondary Practice Location 1

Location 1317 Maple AveUniondale, NY 11553-1621 · Phone (516) 402-0194 · Fax (516) 232-9534

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

Mr. Dwayne Blake Np 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 ID648665398

PECOS Enrollment IDI20220316003497

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

84 services51 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

22 services22 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

16 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11001 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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 Dwayne Blake's NPI number?

The NPI number for Dwayne Blake is 1194480335. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Dwayne Blake located?

Dwayne Blake practices at 31 Covert Ave # 1030, Floral Park, NY 11001. The listed phone number is (516) 402-0194.

What is Dwayne Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dwayne Blake enrolled in Medicare?

Yes. Dwayne Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dwayne Blake was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.