Individual provider Active NPI

Vladimir Rubinshteyn, MD

  • Trauma Surgery Physician
  • Staten Island, NY
National Provider Identifier
1174761373
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
256796 Issued in NY
Practice address
11 Ralph PL
Staten Island, NY 10304-4401
Phone
(718) 273-5666
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 256796 NY Primary

Addresses

Primary practice location

11 Ralph PL
Staten Island, NY 10304-4401

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-1873

Other practice location 1

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20130906000179 NY Practitioner - General Surgery 3173766474 Reassigns benefits to 3 organizations
Practice locations: Staten Island, NY
I20200211001885 NJ Practitioner - General Surgery 3173766474 Reassigns benefits to 2 organizations
Practice locations: Rahway, NJ

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

Staten Island, NY 10301
Phone (718) 818-1234

1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058

11 Ralph PL
Staten Island, NY 10304-4401
Phone (917) 952-3824

355 Bard Ave
Staten Island, NY 10310-1664

400 W Blackwell St
Dover, NJ 07801-2525
Phone (917) 952-3824

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

865 Stone St
Rahway, NJ 07065-2742
Phone (917) 952-3824

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Kindred Hospital New Jersey - Morris County Long-term care hospital, Dover, NJ, CCN 312020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256796NYMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Nov 1, 2020 Accepting new patients
KND Development 59, LLC CurrentSince Nov 1, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Jul 1, 2015 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 21, 2015 Accepting new patients
KND Development 59, LLC Current Accepting new patients
Wound Physician Surgeon PC CurrentSince Apr 13, 2021 Accepting new patients
Amboy Medical Practice PC CurrentSince Jul 1, 2015 Accepting new patients
Richmond Medical Center Past Accepting new patients

Locations

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

865 Stone St
Fl 4
Rahway, NJ 07065
Phone (732) 453-2950

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

100 Castleton Ave
Staten Island, NY 10301
Phone (718) 273-1300

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

11 Ralph Pl
Staten Island, NY 10304
Phone (718) 273-5666

275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

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

Interoperability endpoints

  • Direct secure messaging: vladimir.rubinshteyn.1@19656.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174761373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINSHTEYN",
        "first_name": "VLADIMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "256796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.