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

Dwight Carlton De Risi, MD

Individual provider Surgical Oncology Physician · NPI 1902876204

Dwight Carlton De Risi, MD is a General Surgery in Great Neck, New York. Graduated from George Washington University School of Medicine in 1973, 53 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
53
Trained at
George Washington University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1010 Northern Blvd
Great Neck, NY 11021-5306
Phone: (516) 487-8888
Fax: (516) 487-8887
Show map & directions

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

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 124921 (NY)

Record details

NPI number1902876204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Group practice North Shore Hematology Oncology Associates Pc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Great Neck