NPIMap

Individual provider Active NPI

Neeraj Dubey, MD

  • Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1215980818
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD429186 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-3040
Fax
(215) 707-8235
NPI assigned
May 18, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD429186 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433

Other identifiers 1

IdentifierTypeStateIssuer
1017874380001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070215000190 PA Practitioner - Neurology 5496710840 Reassigns benefits to 2 organizations
I20130529000192 NM Practitioner - NeurologyPractitioner - Neurosurgery 5496710840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

8815 Germantown Ave
Philadelphia, PA 19118-2722
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD429186PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Aug 27, 2019 Accepting new patients
Schuylkill Open MRI Inc CurrentSince Dec 1, 2009 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Apr 29, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Apr 29, 2024 Accepting new patients
Vision Imaging of Kingston LLC CurrentSince Nov 15, 2023 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Nov 12, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Nov 12, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 Accepting new patients
Princeton and Rutger Neurology, P.a. Neurology Past Accepting new patients

Locations

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

1088 W Baltimore Pike
Ste 2104
Media, PA 19063
Phone (484) 227-0130

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

48 Tunnel Rd
Ste 101
Pottsville, PA 17901
Phone (570) 622-2245

48 Tunnel Rd
Ste 102
Pottsville, PA 17901
Phone (570) 622-6206

100 E Lancaster Ave
Ste 256
Wynnewood, PA 19096
Phone (484) 572-6300

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1215980818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3040",
            "fax_number": "215-707-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBEY",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD429186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017874380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.