Active NPI
Gary Dubin, M.D.
- Internal Medicine Physician
- West Chester, PA
National Provider Identifier
1285924589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD038154E
- Practice address
- 1549 Tanglewood Dr
West Chester, PA 19380-5843 - Phone
- (610) 651-0827
- NPI assigned
- Apr 8, 2011
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD038154E | PA | Primary |
Addresses
Primary practice location
1549 Tanglewood Dr
West Chester, PA 19380-5843
Mailing address
1549 Tanglewood Dr
West Chester, PA 19380-5843
Phone (610) 651-0827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD038154E | Other | PA | BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
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 |
|---|---|---|---|
| MD038154E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1285924589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 TANGLEWOOD DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805843",
"telephone_number": "610-651-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 TANGLEWOOD DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805843",
"telephone_number": "610-651-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIN",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD038154E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "MD038154E",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.