Jack Rubinlicht, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001675L Issued in PA

Practice address

1304 Rhawn St
Phila, PA 19111-2870

Phone

(215) 742-1225

Fax

(215) 742-3902

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Foot and Ankle Associates PCGroup PAC ID 3971587387, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pennsylvania Foot and Ankle Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1336298124
  Medicare reassignment Care Compare group NPD
• Peripheral Vascular Institute of Philadelphia LLC

  • Vascular-Interventional Technology Radiologic Technologist
  • Philadelphia, PA
  • NPI 1396074480
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1194703298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-742-1225",
            "fax_number": "215-742-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 RHAWN ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112870",
            "telephone_number": "215-742-1225",
            "fax_number": "215-742-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Market Pl Ste 60",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381059",
            "country_code": "US",
            "telephone_number": "215-862-2084",
            "fax_number": "215-862-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Oxford Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190677706",
            "country_code": "US",
            "telephone_number": "215-493-8300",
            "fax_number": "215-493-3096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINLICHT",
        "first_name": "JACK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001675L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000505327-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Kendall Rowden, DO
• Lee Dickinson Rowe, MD
• Sameerah D Rowland
• Royal Drugs
• Emily Rubin, R.D.
• Richard Lee Rush, DDS
• Jessica Dean Russo, PSY.D.
• Eileen Ryan, CRNP
• Tierra Toni Ryan, PHARM.D
• S.G. Isaacs Enterprises, Inc.

• Podiatrist in Phila, PA
• Providers in Phila, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.

Verify at the official NPI Registry.