Michael Benjamin Rubin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

200554 Issued in NY

Practice address

175 Memorial Hwy
LL14
New Rochelle, NY 10801-5635

Phone

(914) 633-7700

Fax

(914) 576-8503

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Borg Imaging Group LLP

  • Specialist
  • Rochester, NY
  • NPI 1528001385
  NPD (past)
• Sound Shore Physician Services

  • Clinic/Center
  • New Rochelle, NY
  • NPI 1689883068
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1053307942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "LL14",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-7700",
            "fax_number": "914-576-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "LL14",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-633-7700",
            "fax_number": "914-576-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "200554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "93B261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen S Rothman, MD
• Vivienne Andrea Rowe, LCSW
• Marina Rozovsky
• Rta Nurse Practitioner in Psychiatry Services, PLLC
• Martin A Rube, D.D.S.
• Pamela F Rubin
• Philip Rubin, M.D.
• Naeemah Ruffin, DPM
• Jamie Ruhl
• Kristopher Ruiz, MD

• Diagnostic Radiology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.