Active NPI
Philip I. Hubel, M.D.
- Emergency Medicine Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 150138-1
- Practice address
- 200 Belle Terre Rd
Port Jefferson, NY 11777-1928 - Phone
- (631) 474-6000
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 150138-1 | NY | Primary |
Addresses
Primary practice location
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Mailing address
PO Box 826207
Philadelphia, PA 19182-6207
Phone (800) 377-8721
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01010402 | Medicaid | NY | |
| 1654Q1 | Other | NY | BLUECROSS BLUESHIELD |
| P00282625 | Other | RAILROAD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Northwestern University Feinberg Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150138-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Group PC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Past | Accepting new patients |
| Eos Medical Group PC | Emergency Medicine | Past | Accepting new patients |
| Port Emergency Medical Services, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
222 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 401-4282
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- philip.hubel.1@21260.direct.athenahealth.com
- phillip.hubel.1@2983.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Urgent Care Clinic/Center
- Flushing, NY
- NPI 1831806314
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
-
- Emergency Medicine Physician
- Carmel, NY
- NPI 1730119926
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1104886266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826207",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826207",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELLE TERRE RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771928",
"telephone_number": "631-474-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBEL",
"first_name": "PHILIP",
"middle_name": "I.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "150138-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01010402",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "1654Q1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00282625",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.