Individual provider Active NPI

Joseph P Stubel, MD

  • Orthopaedic Surgery Physician
  • Hauppauge, NY
National Provider Identifier
1710983549
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
121840 Issued in NY
Practice address
521 Route 111
Ste 206
Hauppauge, NY 11788-4358
Phone
(631) 979-9400
Fax
(631) 979-9562
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 121840 NY
Orthopaedic Surgery Physician 207X00000X 121840 NY Primary

Addresses

Primary practice location

521 Route 111
Ste 206
Hauppauge, NY 11788-4358

Mailing address

521 Route 111
Ste 206
Hauppauge, NY 11788-4358
Phone (631) 979-9400

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
I20090221000005 NY Practitioner - Orthopedic Surgery 3375608581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

1 Kings Hwy
Hauppauge, NY 11788-4216
Phone (631) 348-4900

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121840NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Medical Services, P.C. CurrentSince Sep 1, 2012 Accepting new patients
Joseph P. Stubel M.D. P.C Sports Medicine PastSince Jul 1, 1991 Accepting new patients

Locations

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1710983549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "STE 206",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884358",
            "telephone_number": "631-979-9400",
            "fax_number": "631-979-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "STE 206",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884358",
            "telephone_number": "631-979-9400",
            "fax_number": "631-979-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBEL",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "121840",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "121840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.