Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366527236 Individual Practitioner Male Practitioner

Dr. Kerwayne H Probherbs , MD

Specialist • Elmont, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kerwayne Probherbs, MD is a registered healthcare professional specializing in Specialist in Elmont, NY. Practice services are available at 2015 LINDEN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2015 Linden Blvd

Elmont, NY 110034000

Telephone 5162855310
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Elmont, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Elmont, NY (23296 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 183821

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
F21443 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Asim Iftikhar , PT

Physical Therapist

NPI 1093585150

Physical Therapist

Dr. Saira Sajid , MD

Internal Medicine - Nephrology

NPI 1548795289

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2015 LINDEN BLVD, ELMONT, NY 110034000 (Tel: 5162855310)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17766 MEADOW DR, JAMAICA, NY 114344944 (Tel: 7183412791)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERWAYNE PROBHERBS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #183821 in NY)

🟢
Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366527236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

17766 Meadow Dr

Jamaica, NY 114344944

Phone: 7183412791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.