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DR. DOUGLAS ANDREW DOUGHERTY DO
NPI 1962406538
Pediatrics in Garden City, NY

Active since June 10, 2005PECOS Enrolled
1000 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530(516) 248-8334(516) 248-1357 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Douglas Andrew Dougherty Do NPPES

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

DR. DOUGLAS ANDREW DOUGHERTY DO (NPI 1962406538) is an individual pediatrics provider in Garden City, New York, licensed in New York (192176) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962406538
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DOUGLAS ANDREW DOUGHERTYCredential: DO
Location Address1000 FRANKLIN AVE STE 100Garden City, NY 11530-2910
Mailing Address1000 Franklin Ave Ste 100Garden City, NY 11530-2910 · (516) 248-8334 · Fax (516) 248-1357
Phone(516) 248-8334
Fax(516) 248-1357
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1962406538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 192176
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 FRANKLIN AVE STE 100, Garden City, NY 11530
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Other Identifiers 1

Medicaid01488059NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Andrew Dougherty 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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JEFFREY WAYNE LIEBERMAN MD
Pediatrics
1000 FRANKLIN AVE STE 100
GARDEN CITY, NY 11530
Nassau County (516) 248-8334
ASHLEY NASIMI
Registered Nurse (Pediatrics)
1000 FRANKLIN AVE STE 100
GARDEN CITY, NY 11530
Nassau County (516) 474-5547
DR. LEILANI BALAGOT CHINGCUANGCO M.D.
Specialist
1000 FRANKLIN AVE STE 100
GARDEN CITY, NY 11530
Nassau County (516) 248-8334

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 Douglas Dougherty's NPI number?

The NPI number for Douglas Dougherty is 1962406538. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Douglas Dougherty located?

Douglas Dougherty practices at 1000 Franklin Ave Ste 100, Garden City, NY 11530. The listed phone number is (516) 248-8334.

What is Douglas Dougherty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Dougherty enrolled in Medicare?

Yes. Douglas Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dougherty reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Douglas Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Dougherty was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.