Dean J Babich, MD
Individual provider Active NPI Nephrology Physician · East Patchogue, NY
NPI 1366427882 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1366427882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 209560 (NY)
- Practice address
- 260 Patchogue Yaphank Rd
Suite F
East Patchogue, NY 11772-4886 - Phone
- (631) 654-8755
- Fax
- (631) 654-8709
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Altru Health System
North Shore-Lij Medical PC
St Alexius Medical Center
Practice addresses (Care Compare)
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
260 Main St
Islip, NY 11751-3450
Phone (631) 581-4481
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- Altru Hospital
- CHI St Alexius Health
- Long Island Community Hospital
- CHI St Alexius Health Williston
- Lifecare Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000577 | NY | Practitioner - Nephrology |
8426174442 | Reassigns benefits to 2 organizations |
| I20221007002852 | ND | Practitioner - Nephrology |
8426174442 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (9 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current |
Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Great Lakes Physician Practice PC | Nephrology | Current |
Accepting new patients |
| Altru Health System | Current |
Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Jamestown Area Medical Associates, L.L.P. | Nephrology | Current |
Accepting new patients |
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| St Alexius Medical Center | Current |
Accepting new patients | |
| St. Alexius Medical Center | Current |
Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
260 Patchogue Yaphank Rd
Ste F
East Patchogue, NY 11772
Phone (631) 654-8755
260 Main St
Islip, NY 11751
Phone (516) 596-3277
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
300 Community Dr
Plandome, NY 11030
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- deanbabich@nslijmedgr.allscriptsdirect.net
- dbabich501385@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 209560 | NY | Yes |
Addresses
Primary practice location
260 Patchogue Yaphank Rd
Suite F
East Patchogue, NY 11772-4886
Mailing address
260 Patchogue Yaphank Rd
Suite F
East Patchogue, NY 11772-4886
Phone (631) 654-8755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01891670 | Medicaid | NY | |
| W38231 | Other | MEDICARE GR NUMBER |
Other providers in East Patchogue, NY
- Jorgio Auguste
- Jaiby Augustine
- Brian W Ault
- Scott Thomas Avery
- Ethan Winslow Ayres
- Reshma Baboolal
- Jessica Baker-Gordon
- Shari V Baker
- Donna Lynne Ball
- Eric Baranek
All providers in East Patchogue, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.