Alfred Dean Rubino, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

004889 Issued in CT

Practice address

500 Enterprise Dr
Rocky Hill, CT 06067-3913

Phone

(860) 858-5089

NPI assigned

Jan 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1114297058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 JONATHAN DR",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293885",
            "telephone_number": "860-858-5089",
            "fax_number": "860-858-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ENTERPRISE DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673913",
            "telephone_number": "860-858-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "ALFRED",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Hill Surgery Center, LLC
• Rocky Hill Volunteer Ambulance Assoc. Inc
• Allison Rodgers, P.T., D.P.T
• Alicia Ana Rodriguez, APRN
• Cheryl M Roy, OTR/L
• Kara Rubino, APRN
• Kirstin M Ruck, RPH
• Sergey Rudyak
• Alexandra Elizabeth Russo, SLP
• Rxhealth LLC

• Adult Health Nurse Practitioner in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.