The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Shirley and New York

87 active clinicians are listed under Licensed Practical Nurse with a practice address in Shirley, NY (22,996 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Shirley

0% of these 87 clinicians have the CMS telehealth indicator.

0% of these 87 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-01

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NY 339946-01

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2026

Licensed Practical Nurse (license number reported to NPPES: NY 339946-01)

✅

NPI Profile Active May 24, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 24, 2021

Registered at 562 BOXWOOD DR, SHIRLEY, NY 119671025 (Tel: 6318711507)

📍

Business Mailing Address (Initial Record) May 24, 2021

Registered at 562 BOXWOOD DR, SHIRLEY, NY 119671025 (Tel: 6318711507)

👤

Provider Name / Credentials (Initial Record) May 24, 2021

Recorded as DANIEL ROSS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Licensed Practical Nurse (license number reported to NPPES: NY 1211788)

🟢

Initial NPI Registration & Enumeration May 24, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1790350601

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2021

Last Update: April 01, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

562 Boxwood Dr

Shirley, NY 119671025

Phone: 6318711507

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.