John Carl Dubberstein, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

160918 Issued in NY

Practice address

111 Maltese Drive
Middletown Medical PC
Middletown, NY 10940-2115

Phone

(845) 342-4774

Fax

(845) 343-3295

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1316070790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MALTESE DRIVE",
            "address_2": "MIDDLETOWN MEDICAL PC",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774",
            "fax_number": "845-818-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MALTESE DRIVE",
            "address_2": "MIDDLETOWN MEDICAL PC",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774",
            "fax_number": "845-343-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBERSTEIN",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "160918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dennis Driscoll, LCSW
• Mark S Driver, MD
• Matthew Dros, MD
• Richard Druce, D.D.S.
• Jinlin Du, MD, FAAAAI, FACAAI
• Abigail Ducheine, MD
• Erin Dudek, LMHC
• Brian P Dudgeon, PA
• Frantz Michel Duffoo, M.D.
• Beth A Duffy, COTA

• Family Medicine Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.