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DESIREE INEZ DENNIS NP
NPI 1215690425
Nurse Practitioner - Adult Health in Deer Park, NY

Active since October 15, 2021PECOS Enrolled
1630 DEER PARK AVE, DEER PARK, NY 11729(631) 242-6166 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desiree Inez Dennis Np NPPES

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

DESIREE INEZ DENNIS NP (NPI 1215690425) is an individual adult health provider in Deer Park, New York, licensed in New York (310456) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215690425
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDESIREE INEZ DENNISCredential: NP
Location Address1630 DEER PARK AVEDeer Park, NY 11729-5210
Mailing Address18 Campbell LnEast Islip, NY 11730-3619 · (631) 332-1424
Phone(631) 242-6166
Sole ProprietorNo
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1215690425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310456
1630 DEER PARK AVE, Deer Park, NY 11729
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Inez Dennis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Desiree Dennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Cardiology At Deer Park PC
Same address
Cardiovascular Disease
1630 DEER PARK AVE
Deer Park, NY 11729
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1972941953 (631) 242-6166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11729 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.

Other Providers at the Same Location NPPES 10

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

ADAM JAMES KUPERSMITH M.D.
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
STEPHANIE FARCO PA
Physician Assistant
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
HEART AND VASCULAR CONSULTING OF LONG ISLAND, PC
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
LONG ISLAND CARDIOVASCULAR MEDICAL ASSOICATES, PC
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
GUILLERMO A. SAN ROMAN MD
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
DR. LANCE SCOTT LEFKOWITZ M.D.
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
ABRAHAM T. SCHNEIDER MD
Internal Medicine (Cardiovascular Disease)
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166
MRS. SUREKHA PATEL MSN, ANP-C
Nurse Practitioner
1630 DEER PARK AVE
DEER PARK, NY 11729
Suffolk County (631) 242-6166

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 Desiree Dennis's NPI number?

The NPI number for Desiree Dennis is 1215690425. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Desiree Dennis located?

Desiree Dennis practices at 1630 Deer Park Ave, Deer Park, NY 11729. The listed phone number is (631) 242-6166.

What is Desiree Dennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Desiree Dennis enrolled in Medicare?

Yes. Desiree Dennis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desiree Dennis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Dennis reassigns Medicare benefits to North Shore - Lij Cardiology At Deer Park PC (Deer Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Desiree Dennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Desiree Dennis was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.