Active NPI
Amanda Elisabeth Zubek, M.D., PH.D.
- Dermatology Physician
- Middlebury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 53302
- Practice address
- 1625 Straits Tpke Ste 306
Yale Dermatology-Middlebury
Middlebury, CT 06762-1836 - Phone
- (203) 577-1050
- Fax
- (203) 577-1053
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 53302 | CT | Primary |
Addresses
Primary practice location
1625 Straits Tpke Ste 306
Yale Dermatology-Middlebury
Middlebury, CT 06762-1836
Mailing address
333 Cedar St
Yale School of Medicine- Dermatology
New Haven, CT 06520
Phone (203) 785-4092
Other names 1
- Amanda Elisabeth Bass
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Northwestern University Feinberg Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1625 Straits Tpke
Middlebury, CT 06762-1836
Phone (203) 577-1050
Hospital & facility affiliations
- Yale-New Haven Hospital
- Waterbury Hospital
- Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 298 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Scott Hill Health Corporation | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Dermatology | Current | Accepting new patients |
Locations
1625 Straits Tpke
Ste 306
Middlebury, CT 06762
Phone (203) 577-1050
150 Sargent Dr
Ste 1200
New Haven, CT 06511
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
150 Sargent Dr
New Haven, CT 06511
Phone (203) 781-4100
333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- azubek5062@direct.ynhh.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- New Haven, CT
- NPI 1902921380
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1477878262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "YALE SCHOOL OF MEDICINE- DERMATOLOGY",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06520",
"telephone_number": "203-785-4092",
"fax_number": "203-785-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE STE 306",
"address_2": "YALE DERMATOLOGY-MIDDLEBURY",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-577-1050",
"fax_number": "203-577-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBEK",
"first_name": "AMANDA",
"middle_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "53302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BASS",
"middle_name": "ELISABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middlebury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.