Active NPI
Adam Kevin Chubak, M.D.
- Cornea and External Diseases Specialist Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- 282946
- Practice address
- 27 Davis Ave
Poughkeepsie, NY 12603-2416 - Phone
- (845) 454-1025
- NPI assigned
- Apr 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cornea and External Diseases Specialist Physician | 207WX0120X | 282946 | NY | Primary |
| Ophthalmology Physician | 207W00000X | 282946 | NY |
Addresses
Primary practice location
27 Davis Ave
Poughkeepsie, NY 12603-2416
Mailing address
27 Davis Ave
Poughkeepsie, NY 12603-2416
Phone (845) 454-1025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200422002042 | NJ | Practitioner - Ophthalmology | 6608206289 | Reassigns benefits to 1 organization |
| I20210512001204 | NY | Practitioner - Ophthalmology | 6608206289 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Virginia School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ophthalmic Consultants of Long Island
Practice addresses (Care Compare)
4 Technology Dr
Suite 150
East Setauket, NY 11733-4085
Phone (631) 941-1400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282946 | NY | MD | Ophthalmology Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Consultants of Long Island | Ophthalmology | Current | Accepting new patients |
| Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC | Ophthalmology | Current | Accepting new patients |
| Omni Eye Specialists P a | Ophthalmology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Ophthalmology | Past | Accepting new patients |
| Ophthalmic Consultants of Long Island | Ophthalmology | Past | Accepting new patients |
| Omni Eye Surgery of New York PC | Ophthalmology | Past | Accepting new patients |
Locations
100 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (973) 439-3937
100 Hospital Rd
Ste 216
East Patchogue, NY 11772
Phone (631) 475-5511
4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400
711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200
825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000
185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737
125 Oakland Ave
Ste 101
Port Jefferson, NY 11777
Phone (631) 828-7100
27 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025
23 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025
2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- adam.chubak.p1@direct.ocli.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Rockville Centre, NY
- NPI 1285675660
NY, Ophthalmology
-
- Ophthalmology Physician
- Poughkeepsie, NY
- NPI 1124188693
NY, Ophthalmology
-
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
- NPI 1154830701
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1245271600
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1427477256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DAVIS AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032416",
"telephone_number": "845-454-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 DAVIS AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032416",
"telephone_number": "845-454-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBAK",
"first_name": "ADAM",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "NY",
"license": "282946",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "282946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.