Individual provider Active NPI

Dov Rubenstein, D.P.M.

  • Podiatrist
  • West Hempstead, NY
National Provider Identifier
1144215948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004793 Issued in NY
Practice address
659 Euclid Ave
West Hempstead, NY 11552-3534
Phone
(516) 385-5794
Fax
(718) 961-5320
NPI assigned
Sep 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004793 NY Primary

Addresses

Primary practice location

659 Euclid Ave
West Hempstead, NY 11552-3534

Mailing address

659 Euclid Ave
West Hempstead, NY 11552-3534
Phone (516) 385-5794

Other identifiers 1

IdentifierTypeStateIssuer
01267550MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000760 NY Practitioner - Podiatry 0749203800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

659 Euclid Ave
West Hempstead, NY 11552-3534
Phone (718) 961-5320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue122
Removal of nail tissue661
Removal or shaving of skin growth201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4793NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Jul 1, 2021 Accepting new patients
Home Foot Care PC CurrentSince Oct 10, 2010 Accepting new patients
Dr Jay Bienenfeld DPM PLLC Podiatrist CurrentSince Aug 11, 2020 Accepting new patients

Locations

2035 Ralph Ave
Ste A2
Brooklyn, NY 11234
Phone (718) 338-2621

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

1612 Central Ave
#2
Far Rockaway, NY 11691
Phone (718) 327-2101

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144215948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EUCLID AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523534",
            "telephone_number": "516-385-5794",
            "fax_number": "718-961-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 EUCLID AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523534",
            "telephone_number": "516-385-5794",
            "fax_number": "718-961-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01267550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.