Individual provider Active NPI

Elena Rubchinski, RPA-C

  • Physician Assistant
  • Monroe, NY
National Provider Identifier
1073887915
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015112 Issued in NY
Practice address
49 Forest Rd
Monroe, NY 10950-2923
Phone
(845) 782-3242
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015112 NY Primary

Addresses

Primary practice location

49 Forest Rd
Monroe, NY 10950-2923

Mailing address

9A Joshua CT
Monsey, NY 10952-3640
Phone (845) 825-7075

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000270 NY Practitioner - Physician Assistant 9133362791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vladimir Zelenko MD PCGroup PAC ID 4587714985, 12 clinicians

Practice addresses (Care Compare)

3 Hamaspik Way
Unit 11
Monroe, NY 10950-8625
Phone (845) 782-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015112NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Aug 1, 2013 Accepting new patients
Aizer Health , Inc. CurrentSince Aug 1, 2013 Accepting new patients

Locations

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Organizations & group practices 4

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1073887915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A JOSHUA CT",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523640",
            "telephone_number": "845-825-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502923",
            "telephone_number": "845-782-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBCHINSKI",
        "first_name": "ELENA",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.