Organization Active NPI

Newburgh Primary Care PC

  • Orthopaedic Surgery Physician
  • Newburgh, NY
National Provider Identifier
1972278745
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEWBURGH PRIMARY CARE PC
Practice address
244 Broadway
Newburgh, NY 12550-5414
Phone
(516) 307-1350
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Yelena Shubina, MD
Title
Provider
Phone
(516) 307-1350

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

244 Broadway
Newburgh, NY 12550-5414

Mailing address

244 Broadway
Newburgh, NY 12550-5414
Phone (516) 307-1350

Other names 1

  • Elite Orthopedic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1972278745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505414",
            "telephone_number": "516-307-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505414",
            "telephone_number": "516-307-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "SHUBINA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "516-307-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.