DWIGHT C. DE RISI M.D. – NPI #1902876204
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Health Care Provider Taxonomy Code for Surgery

DWIGHT DE RISI is a surgeon located in GREAT NECK, NY. NPPES has assigned the NPI number 1902876204 to DWIGHT DE RISI on January 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 6 years ago on Jan 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DWIGHT DE RISI below.

NPI Profile for
DWIGHT C. DE RISI

NPI Number
1902876204
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DWIGHT C. DE RISI
Credentials
M.D.
Primary location
1010 NORTHERN BLVD
GREAT NECK, NY 11021-5306
Phone: (516) 487-8888 Fax: (516) 487-8887
Mailing address
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone: (631) 751-3000 Fax: (631) 509-6559
Sole Proprietor
Yes
Updated
Certification Date
Jan 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086X0206X
- Surgery / Surgical Oncology (Primary)		 NY 124921

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 1973
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DWIGHT DE RISI is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH SHORE UNIVERSITY HOSPITAL
      300 COMMUNITY DRIVE
      MANHASSET, NY 11030
    • ST FRANCIS HOSPITAL - THE HEART CENTER
      100 PORT WASHINGTON BOULEVARD
      ROSLYN, NY 11576
  • HOME HEALTH AGENCY
    • CATHOLIC HOME CARE
      110 BI-COUNTY BOULEVARD, SUITE 114
      FARMINGDALE, NY 11735

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