Individual provider Active NPI

Max I Hamburger, M.D.

  • Rheumatology Physician
  • Melville, NY
National Provider Identifier
1023004876
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
121178 Issued in NY
Practice address
1895 Walt Whitman Rd
Melville, NY 11747-3031
Phone
(631) 249-9525
Fax
(631) 420-1526
NPI assigned
Sep 26, 2005
Last updated
May 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 121178 NY Primary

Addresses

Primary practice location

1895 Walt Whitman Rd
Melville, NY 11747-3031

Mailing address

315 Middle Country Rd
Smithtown, NY 11787-2817
Phone (631) 656-7161

Other identifiers 1

IdentifierTypeStateIssuer
00434579MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001566 NY Practitioner - Rheumatology 3274521349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

315 E Middle Country Rd
Smithtown, NY 11787-2829
Phone (631) 360-7778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
82.29
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121178NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Long Island, LLP CurrentSince Sep 15, 1995 Accepting new patients
Rheumatology Associates of L.I., LLP CurrentSince Sep 15, 1995 Accepting new patients
Rheumatology Associates of L.I., LLP Past Accepting new patients

Locations

1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525

7 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 574-8770

554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778

315 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 360-7778

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1023004876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872817",
            "telephone_number": "631-656-7161",
            "fax_number": "631-360-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473031",
            "telephone_number": "631-249-9525",
            "fax_number": "631-420-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBURGER",
        "first_name": "MAX",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "121178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00434579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.