Individual provider Active NPI

Matthew Michael Dubai, NP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1720135742
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332605-1 Issued in NY
Practice address
6 Rhoads Dr
Utica, NY 13502-6317
Phone
(315) 738-7883
Fax
(315) 738-0347
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332605-1 NY Primary

Addresses

Primary practice location

6 Rhoads Dr
Utica, NY 13502-6317

Mailing address

3429 South St
Clinton, NY 13323-3831
Phone (315) 853-2982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000185 VA Practitioner - Nurse Practitioner 6709933013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F332605-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald C Burnett MD LTD Past Accepting new patients
Alexandria Associates in Dermatology, PC PastSince Sep 3, 2013 Accepting new patients

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1720135742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 SOUTH ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233831",
            "telephone_number": "315-853-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RHOADS DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026317",
            "telephone_number": "315-738-7883",
            "fax_number": "315-738-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAI",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332605-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.