Organization Active NPI

New Horizons Gastroenterology, PLLC

  • Specialist
  • Garden City, NY
National Provider Identifier
1164040705
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW HORIZONS GASTROENTEROLOGY, PLLC
Practice address
585 Stewart Ave Ste 412
Garden City, NY 11530-4701
Phone
(516) 385-5800
Fax
(516) 385-5770
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Steven D Rubin, MDNPI 1568435931
Title
Owner
Phone
(917) 415-8420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

585 Stewart Ave Ste 412
Garden City, NY 11530-4701

Mailing address

585 Stewart Ave Ste 412
Garden City, NY 11530-4701
Phone (516) 385-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317000454 NY Part B Supplier - Clinic/Group Practice 9436565470 Receives reassigned benefits from 4 practitioners
Practice locations: Garden City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2199543New Horizons Gastroenterology585 Stewart Ave, 412 (4TH Floor), Garden City, NY 11530ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

585 Stewart Ave
Ste 412
Garden City, NY 11530
Phone (516) 385-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBDCD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1164040705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 412",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304701",
            "telephone_number": "516-385-5800",
            "fax_number": "516-385-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 412",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304701",
            "telephone_number": "516-385-5800",
            "fax_number": "516-385-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-415-8420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.