Active NPI
Michael Dubin, M.D.
- Internal Medicine Physician
- Carmel, NY
National Provider Identifier
1346333564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 208056
- Practice address
- 150 Route 52
Carmel, NY 10512-1200 - Phone
- (845) 228-2910
- Fax
- (845) 228-2914
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 208056 | NY | Primary |
Addresses
Primary practice location
150 Route 52
Carmel, NY 10512-1200
Mailing address
1351 Route 55 Ste 200
Lagrangeville, NY 12540-5128
Phone (845) 475-9661
Other practice location 1
111 Clocktower Commons
Brewster, NY 10509
Phone (845) 279-5187 ext. 136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01860897 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240622000151 | NY | Order and Referring Only - Internal Medicine | 3375629397 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1346333564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 ROUTE 55 STE 200",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405128",
"telephone_number": "845-475-9661",
"fax_number": "845-475-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 ROUTE 52",
"city": "CARMEL",
"state": "NY",
"postal_code": "105121200",
"telephone_number": "845-228-2910",
"fax_number": "845-228-2914"
}
],
"practiceLocations": [
{
"address_1": "111 Clocktower Commons",
"address_purpose": "LOCATION",
"city": "Brewster",
"state": "NY",
"postal_code": "10509",
"country_code": "US",
"telephone_number": "845-279-5187 x136",
"fax_number": "845-279-5168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBIN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "208056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01860897",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.