DR. DONDRE IRVING DO
NPI 1316508633
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since June 26, 2019PECOS Enrolled
STONY BROOK MEDICINE HSC LEVEL 4, ROOM 176, STONY BROOK, NY 11794(631) 444-2084 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dondre Irving Do NPPES

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

DR. DONDRE IRVING DO (NPI 1316508633) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1316508633
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DONDRE IRVINGCredential: DO
Location AddressSTONY BROOK MEDICINE HSC LEVEL 4, ROOM 176Stony Brook, NY 11794-4006
Mailing AddressStony Brook Medicine Hsc Level 4, Room 176Stony Brook, NY 11794-8430 · (631) 444-2084
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1316508633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
STONY BROOK MEDICINE HSC LEVEL 4, ROOM 176, Stony Brook, NY 11794

Secondary Practice Location 1

Location 1374 Stockholm StBrooklyn, NY 11237-4006 · Phone (718) 963-7602

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dondre Irving Do 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.

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
STONY BROOK MEDICINE HSC LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
STONY BROOK MEDICINE HSC LEVEL 4, ROOM 176
STONY BROOK, NY 11794

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 Dondre Irving's NPI number?

The NPI number for Dondre Irving is 1316508633. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Dondre Irving located?

Dondre Irving practices at Stony Brook Medicine Hsc Level 4, Room 176, Stony Brook, NY 11794. The listed phone number is (631) 444-2084.

What is Dondre Irving's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dondre Irving enrolled in Medicare?

Yes. Dondre Irving is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dondre Irving was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.