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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYRTA ISABEL OLIVERA DUBON MD
NPI 1184376642
Family Medicine in Bay Shore, NY

Active since January 25, 2022PECOS Enrolled
1377 5TH AVE, BAY SHORE, NY 11706(631) 758-7003 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 28, 2026, Jan 25, 2022 (2 updates tracked since 2022).

About Myrta Isabel Olivera Dubon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTA ISABEL OLIVERA DUBON MD (NPI 1184376642) is an individual family medicine provider in Bay Shore, New York, licensed in New York (338825) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184376642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMYRTA ISABEL OLIVERA DUBONCredential: MD
Location Address1377 5TH AVEBay Shore, NY 11706-4131
Mailing Address1299 Corporate Dr Apt 1117Westbury, NY 11590-6643 · (787) 553-9029
Phone(631) 758-7003
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2022
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1184376642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 338825
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1377 5TH AVE, Bay Shore, NY 11706
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myrta Isabel Olivera Dubon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032688148
PECOS Enrollment IDI20260519001269
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CARLOS ALBERTO CONCEPCION PA-C
Physician Assistant
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3265
MRS. JAIYA RAMPERSAD PA-C
Physician Assistant (Medical)
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3265
CECIA ELIZABETH ROMERO AMAYA LPN
Licensed Practical Nurse
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 336-7327
DULCE M ALMANZAR M.D.
Family Medicine
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3265
YOHANNA A REYES PA-C
Physician Assistant
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 751-3000
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Internal Medicine
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 751-3000
DULCE M. ALMANZAR, M.D., PC
Family Medicine
1377 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrta Olivera Dubon's NPI number?

The NPI number for Myrta Olivera Dubon is 1184376642. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Myrta Olivera Dubon located?

Myrta Olivera Dubon practices at 1377 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 758-7003.

What is Myrta Olivera Dubon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Myrta Olivera Dubon enrolled in Medicare?

Yes. Myrta Olivera Dubon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myrta Olivera Dubon was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.