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MARTIN GUBERNICK M.D.
NPI 1336297910
Specialist in New York, NY

Active since January 08, 2007Opted out of Medicare · through Mar 20, 2027
131 E 65TH ST, NEW YORK, NY 10021(212) 288-1422(212) 879-2606 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Gubernick M.d. NPPES

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

MARTIN GUBERNICK M.D. (NPI 1336297910) is an individual specialist in New York, New York, licensed in New York (157816) and active in the NPI registry since January 2007. He has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336297910
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARTIN GUBERNICKCredential: M.D.
Location Address131 E 65TH STNew York, NY 10021-7006
Mailing Address131 E 65th StNew York, NY 10021-7006 · (212) 288-1422 · Fax (212) 879-2606
Phone(212) 288-1422
Fax(212) 879-2606
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336297910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 157816
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
131 E 65TH ST, New York, NY 10021
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Other Names 1

Professional Name (2)Martin Gubernick M.d.

Other Identifiers 2

Medicare UPINA64483NY
Medicare ID-Type Unspecified84D281NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Martin Gubernick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2015 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2015
Opt-Out In Effect ThroughMarch 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

DINA NICOLE ANDERSON M.D.
Specialist
131 E 65TH ST
NEW YORK, NY 10021
New York County (212) 717-8092
DR. DESIDER J ROTHE MD
Obstetrics & Gynecology (Gynecology)
131 E 65TH ST
NEW YORK, NY 10021
New York County (212) 535-2175
DR. MARK IRA EVANS M.D.
Medical Genetics (Clinical Genetics (M.D.))
131 E 65TH ST
NEW YORK, NY 10021
New York County (212) 744-2590

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 Martin Gubernick's NPI number?

The NPI number for Martin Gubernick is 1336297910. It was assigned to this individual provider in the NPPES registry on January 8, 2007. The provider is also known as Martin Gubernick M.D..

Where is Martin Gubernick located?

Martin Gubernick practices at 131 E 65th St, New York, NY 10021. The listed phone number is (212) 288-1422.

What is Martin Gubernick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Martin Gubernick enrolled in Medicare?

No. Martin Gubernick has opted out of Medicare through March 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Martin Gubernick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.