Active NPI
Kathleen Rose McCubbin, M.D.
- Forensic Pathology Physician
- Brooklyn, NY
National Provider Identifier
1073676979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 256168
- Practice address
- 599 Winthrop St
Brooklyn, NY 11203 - Phone
- (718) 604-4464
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 256168 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 060-0003387 | VT |
Addresses
Primary practice location
599 Winthrop St
Brooklyn, NY 11203
Mailing address
599 Winthrop St
Brooklyn, NY 11203
Phone (718) 604-4464
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256168 | NY | MD | Forensic Pathology Physician |
| 060-0003387 | VT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1073676979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 WINTHROP ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-604-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 WINTHROP ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-604-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUBBIN",
"first_name": "KATHLEEN",
"middle_name": "ROSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "NY",
"license": "256168",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VT",
"license": "060-0003387",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.