Paul Jan Kubiak, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

230604 Issued in NY

Practice address

1512 Broadway
Hewlett, NY 11557-1429

Phone

(516) 374-6838

Fax

(516) 374-2362

NPI assigned

Aug 31, 2005

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Rutgers New Jersey Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

Merit-based Incentive Payment System (MIPS)

Final score

36.37 of 100Reported as individual

Quality

38.1

Promoting interoperability

0

Improvement activities

30

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4
• Direct secure messaging: paul.kubiak.1@14448.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St John's Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1023042173
  Medicare reassignment Care Compare group NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Hewlett, NY
  • NPI 1063524197
  Medicare reassignment NPD
• South Island Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Cedarhurst, NY
  • NPI 1194377465
  Medicare reassignment NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Richmond Hill, NY
  • NPI 1780071548
  NPD
• Island Musculoskeletal Care, M.D., P.C.

  • Physical Therapist
  • Patchogue, NY
  • NPI 1235241670

  Orthopaedic Surgery

  NPD
• South Island Orthopedics, P.C.

  • Orthopaedic Surgery Physician
  • Rockville Centre, NY
  • NPI 1912673856
  NPD
• Episcopal Health Services Inc

  dba St. John's Pharmacy

  • Community/Retail Pharmacy
  • Far Rockaway, NY
  • NPI 1689151201
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1396739777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571429",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571429",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "PAUL",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "230604",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NM",
            "license": "MD20050074",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A96019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abraham Korman, DC
• Jordan Leslie Kramer, M.D.
• Meryl Sikora Krasne, SPEECH PATHOLOGIST
• Burt R. Kreisman, DDS
• Kumar Krishnamoorthi, P.T.
• Jeffrey Kupferman, LCSW
• Susan Kurman, SLP
• Madeline Rose Lalia, M.D.
• Lilly Landa
• Sharon Lane

• Orthopaedic Surgery Physician in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.