Active NPI
Marshall Jeffrey Hubsher, MD
- Psychiatry Physician
- Roslyn, NY
National Provider Identifier
1386690626
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301102701
- Practice address
- 1025 Northern Blvd
Suite 95
Roslyn, NY 11576-1506 - Phone
- (516) 627-6648
- NPI assigned
- May 26, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301102701 | MI | Primary |
Addresses
Primary practice location
1025 Northern Blvd
Suite 95
Roslyn, NY 11576-1506
Mailing address
115 W University Dr
Rochester, MI 48307-1940
Phone (516) 603-7685
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301102701 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1386690626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W UNIVERSITY DR",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071940",
"telephone_number": "516-603-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"address_2": "SUITE 95",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761506",
"telephone_number": "516-627-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBSHER",
"first_name": "MARSHALL",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301102701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.