DR. KENNETH PAUL SUBIN (NPI# 1144333170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144333170 |
| Entity Type | Individual |
| Full Name | DR. KENNETH PAUL SUBIN |
| Credential | M.D. |
| Practice Address |
16 Brentwood Dr Ithaca NY 14850 |
| Mailing Address |
1301 Trumansburg Rd Ste P Ithaca NY 14850-1397 |
| Practice Telephone | 6073390680 |
| Practice Fax Number | 6073195532 |
| Mailing Telephone | 6072772365 |
| Mailing Fax Number | 6072771415 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
244080 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03168114 | 05 |
| Street Address |
16 BRENTWOOD DR |
| City | ITHACA |
| State | NY |
| Zip Code | 14850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427033349 | Walter Edward Margie IIi | Internal Medicine | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2005-12-13 |
| 1649835075 | Cayuga Physician Practice Pllc | Preventive Medicine | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2019-05-01 |
| 1043760846 | Rocco Rosano | Physician Assistant | 16 Brentwood Dr, Suite A, Ithaca, NY 14850-1863 | 2016-10-05 |
| 1114475365 | Marlee Joan Drumheller | Physician Assistant | 16 Brentwood Dr, Suite A, Ithaca, NY 14850-1863 | 2016-09-16 |
| 1417319724 | Erica Lawlor | Physician Assistant | 16 Brentwood Dr, Suite A, Ithaca, NY 14850-1863 | 2016-03-25 |
| 1740696616 | Ralph Joseph Zinn | Nurse Practitioner | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2014-07-10 |
| 1922352111 | Zsofia Franck | Nurse Practitioner | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2012-11-09 |
| 1629375167 | Megan Galbreath Turnbull | Registered Nurse | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2011-02-18 |
| 1023228996 | Humaira Hassan | Internal Medicine | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2007-05-22 |
| 1558587204 | Benjamin Francis Donohue | Orthopaedic Surgery | 16 Brentwood Dr, Suite A, Ithaca, NY 14850-1863 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835075 | Cayuga Physician Practice Pllc | Preventive Medicine | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2019-05-01 |
| 1992900278 | Relford Eugene Patterson | Preventive Medicine | 110 Ho Plz, Ithaca, NY 14853-3102 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969057 | Shaneabbas Hasnain Dharsi | Preventive Medicine | Jfk International Airport Building 14, Citimedical-medport, Jamaica, NY 11430 | 2018-10-26 |
| 1740775840 | Harry A Levy | Preventive Medicine | 27 W 96th St Apt 10d, New York, NY 10025-6525 | 2018-06-30 |
| 1073879953 | John F. Masloski | Preventive Medicine | 2134 Quaker Ridge Rd, Croton-on-hudson, NY 10520 | 2012-04-05 |
| 1356624266 | Arnold Kaminer | Preventive Medicine | 100 Ralph Ave, White Plains, NY 10606-3609 | 2011-09-27 |
| 1548557366 | Steven A. Osadca | Preventive Medicine | 3121 Clinton St, Suite #6, West Seneca, NY 14224-1375 | 2011-06-30 |
| 1821393620 | Carol Denise Davis | Preventive Medicine | 30 Bell Avenue, Bldge 490 Omc Brookhaven National Laboratory, Upton, NY 11973 | 2011-01-26 |
| 1275864159 | Su Chong Choe-baek | Preventive Medicine | 3330 61st St, #402, Woodside, NY 11377-2234 | 2010-01-17 |
| 1831322577 | Peter Dmytri Olenen | Preventive Medicine | 486 S Plank Rd, Westtown, NY 10998-2807 | 2009-08-28 |
| 1326288101 | Michael A Wolfson | Preventive Medicine | 627 Bradford Pkwy, Syracuse, NY 13224-2001 | 2009-03-06 |
| 1114186475 | Elena Dolginova | Preventive Medicine | 10b Madison Ave, Albany, NY 12203 | 2008-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.