Individual provider Active NPI

Dov B Sebrow, MD

  • Retina Specialist (Ophthalmology) Physician
  • Newburgh, NY
National Provider Identifier
1639436462
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
282857-1 Issued in NY
Practice address
450 Gidney Ave Ste 201
Newburgh, NY 12550-3153
Phone
(845) 562-1100
Fax
(845) 562-1162
NPI assigned
Apr 18, 2012
Last updated
Sep 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 282857-1 NY Primary

Addresses

Primary practice location

450 Gidney Ave Ste 201
Newburgh, NY 12550-3153

Mailing address

450 Gidney Ave Ste 201
Newburgh, NY 12550-3153
Phone (845) 562-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160629002673 NY Practitioner - Ophthalmology 2769774363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Hudson Ophthalmological Retina Consultants, PLLCGroup PAC ID 9739079955, 3 clinicians

Practice addresses (Care Compare)

450 Gidney Ave
Newburgh, NY 12550-3116
Phone (845) 562-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
86.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282857-1NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Hudson Ophthalmological Retina Consultants, PLLC Retina Specialist CurrentSince Aug 20, 2018 Accepting new patients

Locations

75 Crystal Run Rd
Ste 101
Middletown, NY 10941
Phone (845) 692-7200

450 Gidney Ave
Newburgh, NY 12550
Phone (845) 562-1100

450 Gidney Ave
Ste 201
Newburgh, NY 12550
Phone (845) 564-2540

450 Gidney Ave
Ste 202
Newburgh, NY 12550

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dsebrow682486@nychhc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1639436462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE STE 201",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503153",
            "telephone_number": "845-562-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE STE 201",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503153",
            "telephone_number": "845-562-1100",
            "fax_number": "845-562-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBROW",
        "first_name": "DOV",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "282857-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.