DR. GAVAN DAVID MOYNIHAN M.D
NPI 1700846797
Dermatology in Bay Shore, NY

Active since March 24, 2006
332 E MAIN ST, BAY SHORE, NY 11706(631) 666-0500(631) 666-0503 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gavan David Moynihan M.d NPPES

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

DR. GAVAN DAVID MOYNIHAN M.D (NPI 1700846797) is an individual dermatology provider in Bay Shore, New York, licensed in New York (122511) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1700846797
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. GAVAN DAVID MOYNIHANCredential: M.D
Location Address332 E MAIN STBay Shore, NY 11706-8404
Mailing Address332 E Main StBay Shore, NY 11706-8404 · (631) 666-0500 · Fax (631) 666-0503
Fax(631) 666-0503
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 16, 2008
NPI 1700846797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 122511
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
332 E MAIN ST, Bay Shore, NY 11706

Other Identifiers 3

Medicare ID-Type UnspecifiedW07511NY
Medicaid00627990NY
Medicare UPINB19836

Other Providers at the Same Location NPPES 13

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

Dermatology
332 E MAIN ST
BAY SHORE, NY 11706
Specialist
332 E MAIN ST, .
BAY SHORE, NY 11706
Specialist
332 E MAIN ST
BAY SHORE, NY 11706
Urology
332 E MAIN ST
BAY SHORE, NY 11706
Specialist
332 E MAIN ST
BAY SHORE, NY 11706
Dermatology
332 E MAIN ST
BAY SHORE, NY 11706
Dermatology
332 E MAIN ST
BAY SHORE, NY 11706
Urology
332 E MAIN ST
BAY SHORE, NY 11706

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 Gavan Moynihan's NPI number?

The NPI number for Gavan Moynihan is 1700846797. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Gavan Moynihan located?

Gavan Moynihan practices at 332 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 666-0500.

What is Gavan Moynihan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Gavan Moynihan was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.