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DAVID RANDALL DYNOF MD
NPI 1912908989
Orthopaedic Surgery - Sports Medicine in Shirley, NY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
2 CORACI BLVD, STE 1, SHIRLEY, NY 11967(212) 682-2750(212) 682-6588 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Randall Dynof Md NPPES

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

DAVID RANDALL DYNOF MD (NPI 1912908989) is an individual sports medicine provider in Shirley, New York, licensed in New York (225074-1) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2000).

NPPES Registry Identity

NPI1912908989
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDAVID RANDALL DYNOFCredential: MD
Location Address2 CORACI BLVD, STE 1Shirley, NY 11967-4833
Mailing Address2341 Bellmore AveBellmore, NY 11710-5624 · (516) 781-8100 · Fax (516) 781-8133
Phone(212) 682-2750
Fax(212) 682-6588
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2000
Enumeration DateAugust 2, 2005
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1912908989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NY · 225074-1
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2 CORACI BLVD, Shirley, NY 11967
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Other Identifiers 1

Medicaid02613927NY

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

David Randall Dynof Md 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 ID2163470857
PECOS Enrollment IDI20050110000616
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
64 services22 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
43 services18 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
43 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services18 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
25 services11 patients

Other Providers at the Same Location NPPES 18

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

PHILIP J. MAKOWSKI, MD, PLLC
Exclusive Provider Organization
2 CORACI BLVD, SUITE 17
SHIRLEY, NY 11967
Suffolk County (631) 395-9144
NAGORAO V KARHADE M.D , FACC
Internal Medicine (Cardiovascular Disease)
2 CORACI BLVD, SUITE 8
SHIRLEY, NY 11967
Suffolk County (631) 399-6003
CHRISTOPHER HORSFORD MSPT
Physical Therapist
2 CORACI BLVD, SUITE 2
SHIRLEY, NY 11967
Suffolk County (631) 395-9090
DR. NEERU KUMAR M.D.
Internal Medicine (Nephrology)
2 CORACI BLVD, STE 11
SHIRLEY, NY 11967
Suffolk County (516) 395-9793
DR. HEBBALMATH M THIPPESWAMY MD
Internal Medicine (Nephrology)
2 CORACI BLVD, SUITE # 9
SHIRLEY, NY 11967
Suffolk County (631) 281-4861
ANTHONY TOMASSO, DO PLLC
Family Medicine
2 CORACI BLVD, STE #4
SHIRLEY, NY 11967
Suffolk County (631) 281-8670
CHRISTOPHER HORSFORD PT PC
Physical Therapist
2 CORACI BLVD, SUITE 2
SHIRLEY, NY 11967
Suffolk County (631) 395-9090
KUMAR S MANDAL MD PC
Family Medicine
2 CORACI BLVD
SHIRLEY, NY 11967
Suffolk County (631) 281-2600

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 David Dynof's NPI number?

The NPI number for David Dynof is 1912908989. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is David Dynof located?

David Dynof practices at 2 Coraci Blvd Ste 1, Shirley, NY 11967. The listed phone number is (212) 682-2750.

What is David Dynof's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is David Dynof enrolled in Medicare?

Yes. David Dynof 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.

When was this NPI record last updated?

The NPPES record for David Dynof was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.