Individual provider Active NPI

Jason Rubinov, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1154697472
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
280210 Issued in NY
Practice address
2569 Ocean Avenue
Brooklyn, NY 11229
Phone
(718) 210-2960
Fax
(718) 744-9374
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 280210 NY Primary

Addresses

Primary practice location

2569 Ocean Avenue
Brooklyn, NY 11229

Mailing address

139 N 3Rd St
Brooklyn, NY 11249-3933
Phone (718) 210-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190711002119 NY Practitioner - Gastroenterology 1759629207 Reassigns benefits to 3 organizations
I20220831000004 FL Practitioner - Gastroenterology 1759629207

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians
JRR Medical PCGroup PAC ID 8820320690, 2 clinicians

Practice addresses (Care Compare)

135 N 7TH St
Brooklyn, NY 11249-2927
Phone (718) 218-0450

2569 Ocean Ave
Suite 3
Brooklyn, NY 11229-4576
Phone (718) 645-7020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Gastroenterology CurrentSince Jan 20, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2019 Accepting new patients
JRR Medical PC Gastroenterology CurrentSince Aug 21, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Mermaid Management Inc PastSince Jan 25, 2020 Accepting new patients
Jal 28 LLC Past Accepting new patients

Locations

135 N 7th St
Brooklyn, NY 11249
Phone (718) 218-0450

141 S Central Ave
Ste 102
Hartsdale, NY 10530
Phone (914) 428-0529

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

380 2nd Ave
New York, NY 10010
Phone (212) 253-6600

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jason.rubinov.1@13555.direct.athenahealth.com

Organizations & group practices 7

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1154697472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493933",
            "telephone_number": "718-210-2960",
            "fax_number": "718-744-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-210-2960",
            "fax_number": "718-744-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINOV",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "280210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.