NPIMap

Organization Active NPI

R Mitchell Rubinovich MD PLLC

  • Orthopaedic Surgery Physician
  • Rome, NY
National Provider Identifier
1043728058
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
199009 Issued in NY
Legal business name
R MITCHELL RUBINOVICH MD PLLC
Practice address
1109 N George St
Rome, NY 13440-3415
Phone
(315) 207-4222
Fax
(315) 533-4377
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Michele A Redmond
Title
Billing Manager
Phone
(315) 207-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 199009 NY Primary

Addresses

Primary practice location

1109 N George St
Rome, NY 13440-3415

Mailing address

1109 N George St
Rome, NY 13440-3415
Phone (315) 207-4222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1043728058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N GEORGE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403415",
            "telephone_number": "315-207-4222",
            "fax_number": "315-533-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N GEORGE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403415",
            "telephone_number": "315-207-4222",
            "fax_number": "315-533-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R MITCHELL RUBINOVICH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "315-207-4222"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "199009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.