Individual provider Active NPI

Adam Kevin Chubak, M.D.

  • Cornea and External Diseases Specialist Physician
  • Poughkeepsie, NY
National Provider Identifier
1427477256
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
282946 Issued in NY
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

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 107 clinicians

Practice addresses (Care Compare)

4 Technology Dr
Suite 150
East Setauket, NY 11733-4085
Phone (631) 941-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
282946NYMDOphthalmology Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Jun 18, 2024 Accepting new patients
Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC Ophthalmology CurrentSince Jun 18, 2021 Accepting new patients
Omni Eye Specialists P a Ophthalmology CurrentSince May 1, 2020 Accepting new patients
North Shore-Lij Medical PC Ophthalmology PastSince Apr 21, 2024 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince Jun 18, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.