Active NPI
Mark V Rubertone, M.D.
- Public Health & General Preventive Medicine Physician
- Silver Spring, MD
National Provider Identifier
1235309766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 16898
- Practice address
- 2900 Linden LN
Suite 200
Silver Spring, MD 20910-1265 - Phone
- (301) 319-3250
- NPI assigned
- Mar 12, 2008
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 16898 | DC | Primary |
Addresses
Primary practice location
2900 Linden LN
Suite 200
Silver Spring, MD 20910-1265
Mailing address
2900 Linden LN
Suite 200
Silver Spring, MD 20910-1265
Phone (301) 319-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16898 | DC | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1235309766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LINDEN LN",
"address_2": "SUITE 200",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101265",
"telephone_number": "301-319-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LINDEN LN",
"address_2": "SUITE 200",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101265",
"telephone_number": "301-319-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBERTONE",
"first_name": "MARK",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "DC",
"license": "16898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.