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

Komal Dold

Individual provider Registered Nurse · NPI 1093251373

Komal Dold is a Nurse Practitioner in Bethpage, New York. Qualified in 2021, 5 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4045 Hempstead Tpke
Bethpage, NY 11714-5611
Phone: (516) 731-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Ny-112 Building 2, Port Jefferson Station, NY 11776 — (631) 978-7633

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348241 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 718609-1 (NY)

Record details

NPI number1093251373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2017
Last updated in NPPESJune 17, 2022
Certification dateJune 14, 2022
Mailing address4045 Hempstead Tpke, Bethpage, NY 11714-5611

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bethpage