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

Mr. Dwayne Blake, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194480335

Mr. Dwayne Blake, NP is a Nurse Practitioner in Floral Park, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

31 Covert Ave # 1030
Floral Park, NY 11001-3216
Phone: (516) 402-0194
Fax: (516) 232-9534
Show map & directions

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

Additional practice locations (1)

  • 317 Maple Ave, Uniondale, NY 11553-1621 — (516) 402-0194

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348517 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 407104 (NY)

Record details

NPI number1194480335
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 2, 2021
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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