ADVANCED LUNG CARE PLLC
NPI 1548896814
Internal Medicine - Pulmonary Disease in West Babylon, NY

Active since March 19, 2020
134 GREAT EAST NECK RD, WEST BABYLON, NY 11704(917) 621-5042(516) 517-9515 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Mar 19, 2020 (2 updates tracked since 2020).

About Advanced Lung Care Pllc NPPES

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

ADVANCED LUNG CARE PLLC (NPI 1548896814) is a healthcare organization registered as a pulmonary disease in West Babylon, New York and active in the NPI registry since March 2020. The organization lists Sam Davidoff, Owner, as its authorized official.

NPPES Registry Identity

NPI1548896814
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameADVANCED LUNG CARE PLLC
Location Address134 GREAT EAST NECK RDWest Babylon, NY 11704-8027
Mailing Address2557 Glenn DrBellmore, NY 11710-5027 · (917) 621-5042 · Fax (516) 517-9515
Fax(516) 517-9515
Organization SubpartNo
Authorized OfficialSam DavidoffOwner · (917) 621-5042
Enumeration DateMarch 19, 2020
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1548896814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
134 GREAT EAST NECK RD, West Babylon, NY 11704

Other Identifiers 1

Other095090NY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Lung Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Lung Care PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1841907383
1000 MONTAUK HWY
West Islip, NY 11795
(631) 376-3000
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1265605505
540 UNION BLVD
West Islip, NY 11795
(631) 669-2555
✔ PECOS✔ Accepts Medicare3.0 mi
Pulmonary Disease
NPI 1003089673
317 BROADWAY STE A
Amityville, NY 11701
(631) 598-5864
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1396196499
8 BEE DR
Hauppauge, NY 11788
(631) 748-9065
✔ PECOS11 mi
Nurse Practitioner
NPI 1881018224
300 COMMUNITY DR
Manhasset, NY 11030
(631) 643-2733
✔ PECOS✔ Accepts Medicare20 mi

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

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 Advanced Lung Care PLLC's NPI number?

The NPI number for Advanced Lung Care PLLC is 1548896814. It was assigned to this organization in the NPPES registry on March 19, 2020.

Where is Advanced Lung Care PLLC located?

Advanced Lung Care PLLC is located at 134 Great East Neck Rd, West Babylon, NY 11704. The listed phone number is (917) 621-5042.

What is Advanced Lung Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Advanced Lung Care PLLC enrolled in Medicare?

Yes. Advanced Lung Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Lung Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Lung Care PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Pulmonary Disease (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Lung Care PLLC was last updated on September 12, 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.