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DANIELLE TISSER DO
NPI 1518454958
Student in an Organized Health Care Education/Training Program in West Islip, NY

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3420(631) 376-3420 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 31, 2019, Apr 20, 2018 (2 updates tracked since 2018).

About Danielle Tisser Do NPPES

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

DANIELLE TISSER DO (NPI 1518454958) is an individual student in an organized health care education/training program in West Islip, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2018).

NPPES Registry Identity

NPI1518454958
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDANIELLE TISSERCredential: DO
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · Fax (631) 376-3420
Phone(631) 376-3420
Fax(631) 376-3420
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
✔ NPI 1518454958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1000 MONTAUK HWY, West Islip, NY 11795
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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

Danielle Tisser Do 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 ID6204174956
PECOS Enrollment IDI20221121001508
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 2

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services28 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

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 Danielle Tisser's NPI number?

The NPI number for Danielle Tisser is 1518454958. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Danielle Tisser located?

Danielle Tisser practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3420.

What is Danielle Tisser's specialty?

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

Is Danielle Tisser enrolled in Medicare?

Yes. Danielle Tisser 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.

Is Danielle Tisser affiliated with any hospitals?

According to CMS data, Danielle Tisser is affiliated with North Shore University Hospital and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Danielle Tisser was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.