Active NPI
Michael Huberman, M.D.
- Dermatology Physician
- West Hartford, CT
National Provider Identifier
1962753517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 026638
- Practice address
- 6 Ironwood Rd
West Hartford, CT 06117-1120 - Phone
- (860) 231-9102
- NPI assigned
- Sep 23, 2012
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 026638 | CT | Primary |
| Dermatology Physician | 207N00000X | G62228 | CA |
Addresses
Primary practice location
6 Ironwood Rd
West Hartford, CT 06117-1120
Mailing address
6 Ironwood Rd
West Hartford, CT 06117-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62228 | CA | MD | Dermatology Physician |
| 026638 | CT | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348358400000",
"number": "1962753517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 IRONWOOD RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061171120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 IRONWOOD RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061171120",
"telephone_number": "860-231-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERMAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-23",
"last_updated": "2012-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "026638",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G62228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.