Active NPI
Joseph P Stubel, MD
- Orthopaedic Surgery Physician
- Hauppauge, NY
National Provider Identifier
1710983549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 121840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121840 | NY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amb Medical Services, P.C. | Current | Accepting new patients | |
| Joseph P. Stubel M.D. P.C | Sports Medicine | Past | 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.
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1568534766
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Hauppauge, NY
- NPI 1912279480
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
- Clinton B Stoddard, LCSW PHD
- Jonathan Louis Stone II, LMHC, LCAT
- Joseph Anthony Stopanio, PSY.D.
- Laura Strange
- Michelle Katherine Straub
- Janice Lynn Sudulich, LCSW
- Suffolk Acupuncture Wellness P.C
- Suffolk Ambulatory Surgery Facility
- Suffolk Cty Dept of Health Services
- Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.