Individual provider Active NPI

Edward S. Rubin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New Hyde Park, NY
National Provider Identifier
1174563431
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
235004 Issued in NY
Practice address
1991 Marcus Ave
Suite M217
New Hyde Park, NY 11042-2057
Phone
(516) 492-3100
Fax
(516) 492-3097
NPI assigned
Jun 7, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 235004 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 235004 NY Primary

Addresses

Primary practice location

1991 Marcus Ave
Suite M217
New Hyde Park, NY 11042-2057

Mailing address

1991 Marcus Ave
Suite M217
New Hyde Park, NY 11042-2057
Phone (516) 492-3100

Other practice location 1

1103 Stewart Ave Ste 300
Garden City, NY 11530-4886
Phone (516) 492-3100

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060909000018 NY Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Other (Physician) 6305840182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1991 Marcus Ave
Suite M217
New Hyde Park, NY 11042-2040
Phone (516) 492-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235004NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward S. Rubin, MD PC CurrentSince Jan 4, 2008 Accepting new patients
Rubin Anesthesia Pain Management, PLLC Pain Medicine Current Accepting new patients
Ainsworth Health, LLC Current Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

1103 Stewart Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-3737

410 Lakeville Rd
Ste 303
New Hyde Park, NY 11042
Phone (516) 321-7555

1991 Marcus Ave
Ste M217
North New Hyde Pk, NY 11042
Phone (516) 482-1100

27005 76th Ave
North New Hyde Pk, NY 11040

57 Ira Rd
#207
Syosset, NY 11791

Interoperability endpoints

  • Direct secure messaging: edwardrubin@nslijmedgr.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJEAA/Endpoint/GHJEAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1174563431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE M217",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-492-3100",
            "fax_number": "516-492-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE M217",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-492-3100",
            "fax_number": "516-492-3097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Stewart Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304886",
            "country_code": "US",
            "telephone_number": "516-492-3100",
            "fax_number": "516-492-3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "EDWARD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "235004",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "235004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.