Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053453407 Deactivated / Inactive NPI Male Practitioner

Dr. Dennis Uyaco Carbonell , MD

General Practice • Centereach, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dennis Carbonell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2007
NPI Deactivation Date September 03, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Carbonell, MD was a registered General Practice practicing in Centereach, NY. Throughout an active medical career spanning 12 years, Dr. Carbonell provided care at the practice location at 18 EASTWOOD BLVD until profile deactivation on 2019-09-03.

Practice Location & Contact Primary Location

Practice Address

18 Eastwood Blvd

Centereach, NY 11720

Telephone 6314673600
Associated Practice Facility / Clinic
🏢 Centereach Medical Care Pc Facility NPI 1659554178

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Centereach, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Centereach, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 128949

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1760459895

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 03, 2019

Record deactivated on September 03, 2019

NPI Profile Active January 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2008

Registered at 18 EASTWOOD BLVD, CENTEREACH, NY 11720 (Tel: 6314673600)

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Updated Business Mailing Address January 30, 2008

Registered at 18 EASTWOOD BOULEVARD, CENTEREACH, NY 11720 (Tel: 6314673600)

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Provider Name / Credentials Updated January 30, 2008

Recorded as DENNIS CARBONELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2008

General Practice (License #128949 in NY)

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Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053453407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: January 30, 2008
Deactivation Date: September 03, 2019

Mailing Address

18 Eastwood Boulevard

Centereach, NY 11720

Phone: 6314673600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.