Dimetris Roubis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005795 Issued in NY

Practice address

1 Hollow LN
Suite 110-North Shore Allergy & Asthma Institute
New Hyde Park, NY 11042-1215

Phone

(516) 365-6666

Fax

(516) 869-1123

NPI assigned

Jul 13, 2006

Last updated

Dec 21, 2010By 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 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Paul B Lang MD PC

  dba North Shore Allergy & Asthma Institute

  • Allergy & Immunology Physician
  • New Hyde Park, NY
  • NPI 1073503249
  Medicare reassignment
• Susan E.Panes, D.O. P.C.

  • Allergy Physician
  • White Plains, NY
  • NPI 1376704007
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1427074756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 110-NORTH SHORE ALLERGY & ASTHMA INSTITUTE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-365-6666",
            "fax_number": "516-869-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 110-NORTH SHORE ALLERGY & ASTHMA INSTITUTE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-365-6666",
            "fax_number": "516-869-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUBIS",
        "first_name": "DIMETRIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Marie Rossi, PT
• Leonard Rossoff, MD
• Allen Rothpearl, M.D.
• Lauren Goldberg Rothstein, M.D.
• Jason Rothwax, MD
• Divya Mary Roy, DO
• Rajasree Roy, MD
• Daisy Sarah Rozario
• Edward S. Rubin, M.D.
• Lorry Rubin, MD

• Physician Assistant in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.

Verify at the official NPI Registry.