Individual provider Active NPI

Elisheva Rubinova, D.O.

  • Family Medicine Physician
  • Rego Park, NY
National Provider Identifier
1063832467
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289369 Issued in NY
Practice address
6271 Woodhaven Blvd
Rego Park, NY 11374-2896
Phone
(347) 338-0503
Fax
(718) 957-4668
NPI assigned
Apr 24, 2014
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 289369 NY Primary

Addresses

Primary practice location

6271 Woodhaven Blvd
Rego Park, NY 11374-2896

Mailing address

6271 Woodhaven Blvd
Rego Park, NY 11374-2896
Phone (347) 338-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122000224 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3971862970 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2518 Queens PLZ S
Long Island City, NY 11101-4101
Phone (646) 647-1261

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Diabetes & Endocrinology Care PC CurrentSince Aug 10, 2025 Accepting new patients
Emusc, LLC CurrentSince Nov 6, 2017 Accepting new patients
Hollis Ak LLC CurrentSince Sep 10, 2022 Accepting new patients
HP Medical Care PC CurrentSince May 13, 2018 Accepting new patients
Wellness Osteopathic Family Medicine Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 17, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 17, 2020 Accepting new patients
Circle Medical Care of New York PC Family Medicine CurrentSince Jul 11, 2025 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
MGS Medical Technology PLLC Past Accepting new patients
Eastern Physical Medicine and Rehabilitation PC PastSince Sep 10, 2022 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

9119 Queens Blvd
Elmhurst, NY 11373
Phone (646) 647-1253

11620 Queens Blvd
Forest Hills, NY 11375
Phone (718) 401-1510

16040 78th Rd
Fresh Meadows, NY 11366
Phone (347) 475-0911

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

2518 Queens Plz S
Long Island City, NY 11101
Phone (646) 647-1261

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: elisheva.rubinova.1@2983.direct.athenahealth.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1063832467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742896",
            "telephone_number": "347-338-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742896",
            "telephone_number": "347-338-0503",
            "fax_number": "718-957-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINOVA",
        "first_name": "ELISHEVA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.