Spencer F. Dubov, D.P.M., P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

002042 Issued in NY

Legal business name

SPENCER F. DUBOV, D.P.M., P.C.

Practice address

73 Hamlet Dr
Commack, NY 11725-4439

Phone

(631) 858-0011

Fax

(631) 858-0011

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Spencer F. Dubov, D.P.M.

Title

Owner/President

Phone

(631) 858-0011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1508052622",
    "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": {
        "organization_name": "SPENCER F. DUBOV, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "DUBOV",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-858-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "002042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P10342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Commack, NY
• Providers in Commack, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.