Active NPI
Dov B Sebrow, MD
- Retina Specialist (Ophthalmology) Physician
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 282857-1
- 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, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 86.5
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282857-1 | NY | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Hudson Ophthalmological Retina Consultants, PLLC | Retina Specialist | Current | 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
- 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.
-
dba Mid-Hudson Retina Consultants, PLLC
- Retina Specialist (Ophthalmology) Physician
- Newburgh, NY
- NPI 1831266493
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.