Active NPI
Andres E Huberman, MD
- Addiction Psychiatry Physician
- Great Neck, NY
National Provider Identifier
1063579043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 207817
- Practice address
- 29 Barstow Rd
Great Neck, NY 11021-2222 - Phone
- (917) 628-4449
- Fax
- (646) 819-0290
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 207817 | NY | Primary |
Addresses
Primary practice location
29 Barstow Rd
Great Neck, NY 11021-2222
Mailing address
29 Barstow Rd Ste 201
Great Neck, NY 11021-2209
Phone (917) 628-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01867798 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1063579043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BARSTOW RD STE 201",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212209",
"telephone_number": "917-628-4499",
"fax_number": "646-819-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BARSTOW RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212222",
"telephone_number": "917-628-4449",
"fax_number": "646-819-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERMAN",
"first_name": "ANDRES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "207817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01867798",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.