Active NPI
Jason Rubinov, MD
- Gastroenterology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 280210
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Sinai
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| JRR Medical PC | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Mermaid Management Inc | Past | 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
- 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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1891345666
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
-
- Gastroenterology Physician
- New York, NY
- NPI 1730440777
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063278281
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1962793273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.