Active NPI
Spencer F. Dubov, D.P.M.
- Foot Surgery Podiatrist
- Commack, NY
National Provider Identifier
1477550226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 002042
- Practice address
- 73 Hamlet Dr
Commack, NY 11725-4439 - Phone
- (631) 858-0011
- Fax
- (631) 858-0011
- NPI assigned
- Jul 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 002042 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | 002042 | NY | Primary |
Addresses
Primary practice location
73 Hamlet Dr
Commack, NY 11725-4439
Mailing address
73 Hamlet Dr
Commack, NY 11725-4439
Phone (631) 858-0011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00414388 | Medicaid | NY | |
| P10342 | Other | NY | BLUE SHIELD/BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002042 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer F. Dubov, D.P.M., P.C. | Foot Surgery | Past | Accepting new patients |
| Nassau Suffolk Podiatry Associates | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foot Surgery Podiatrist
- Commack, NY
- NPI 1881881548
-
- Foot Surgery Podiatrist
- Bethpage, NY
- NPI 1013196005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1477550226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 HAMLET DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254439",
"telephone_number": "631-858-0011",
"fax_number": "631-858-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 HAMLET DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254439",
"telephone_number": "631-858-0011",
"fax_number": "631-858-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOV",
"first_name": "SPENCER",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "002042",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "002042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00414388",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/BLUE CROSS",
"identifier": "P10342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.