NPIMap

Individual provider Active NPI

Steven M Kubersky, MD

  • Internal Medicine Physician
  • Scarsdale, NY
National Provider Identifier
1760465595
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
179564 Issued in NY
Practice address
495 Central Park Ave
Scarsdale, NY 10583-1068
Phone
(914) 722-6200
Fax
(914) 722-6229
NPI assigned
Nov 25, 2005
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 179564 NY Primary

Addresses

Primary practice location

495 Central Park Ave
Scarsdale, NY 10583-1068

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (845) 634-6500

Other identifiers 1

IdentifierTypeStateIssuer
01441556MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001826 NY Practitioner - Internal Medicine 0042204810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179564NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince Feb 1, 2006 Accepting new patients
Westchester Medical Group, P.C. Internal Medicine CurrentSince Feb 1, 2006 Accepting new patients

Locations

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

Networks

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

Interoperability endpoints

  • Direct secure messaging: skubersky@hiemail.healtheconnections.org
  • Direct secure messaging: steven.kubersky.1@21260.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1760465595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831068",
            "telephone_number": "914-722-6200",
            "fax_number": "914-722-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERSKY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01441556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.