Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sean Dustin Willis, DO

Individual provider Surgical Critical Care Physician · NPI 1710484910

Dr. Sean Dustin Willis, DO is a General Surgery in Rockville Centre, New York. Graduated from Nova Southeastern College of Osteo Medicine in 2018, 8 years ago. Practices with Long Island Surgical PLLC, a 9-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
8
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2000 N Village Ave Ste 211
Rockville Centre, NY 11570-1001
Phone: (516) 714-3743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 — (386) 241-1020
  • 1600 Sw Archer Rd, Gainesville, FL 32610-2545 — (352) 265-0535
  • 43 New Scotland Ave, Albany, NY 12208-3412 — (518) 262-3125

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 321467 (NY)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 321467 (NY)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence OS20663 (FL)

Record details

NPI number1710484910
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2018 (8 years in practice)
Group practice Long Island Surgical Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Rockville Centre