Active NPI
Ralph Rubino, DPM
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1144337254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004794
- Practice address
- 9731 4TH Ave
Brooklyn, NY 11209-8131 - Phone
- (718) 745-3177
- Fax
- (718) 836-7531
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004794 | NY | Primary |
Addresses
Primary practice location
9731 4TH Ave
Brooklyn, NY 11209-8131
Mailing address
PO Box 280175
Brooklyn, NY 11228-0175
Phone (718) 745-3177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004794 | NY | MD | Mental Health Counselor |
| N004794 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144337254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280175",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112280175",
"telephone_number": "718-745-3177",
"fax_number": "718-836-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9731 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098131",
"telephone_number": "718-745-3177",
"fax_number": "718-836-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "RALPH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.