Individual provider Active NPI

Jonathon Aaron Rubin, M.D.

  • Vascular Surgery Physician
  • Garden City, NY
National Provider Identifier
1245324359
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
231751 Issued in NY
Practice address
700 Stewart Ave
Garden City, NY 11530-4721
Phone
(516) 663-1220
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 231751 NY
Surgery Physician 208600000X 4301091453 MI
Surgical Critical Care Physician 2086S0102X 231751 NY
Vascular Surgery Physician 2086S0129X 046504 CT
Vascular Surgery Physician 2086S0129X 231751 NY Primary

Addresses

Primary practice location

700 Stewart Ave
Garden City, NY 11530-4721

Mailing address

700 Stewart Ave
Garden City, NY 11530-4721

Other practice location 1

15 Park Ave
Bay Shore, NY 11706-7381
Phone (631) 581-4400

Other practice location 2

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other identifiers 1

IdentifierTypeStateIssuer
02818091MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrubin35883@direct.garnethealth.org Garnet Health Doctors PC
Direct Messaging Address jrubin230537@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, PA, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070105000141 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 1557361185 Reassigns benefits to 4 organizations
I20180626000687 MI Practitioner - Critical Care (Intensivists) 1557361185 Reassigns benefits to 1 organization
I20191029000173 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 1557361185 Reassigns benefits to 5 organizations
I20191029002121 ND Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Vascular Surgery 1557361185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians
United Health Services Hospitals, Inc.Group PAC ID 5193610533, 471 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

250 Patchogue Yaphank Rd
Suite 5
East Patchogue, NY 11772-4862
Phone (631) 654-3330

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377

30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091453MIMDSurgery Physician
231751NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Aug 8, 2019 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2019 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Covenant Medical Center, Inc CurrentSince Jul 1, 2018 Accepting new patients
St. Joseph Medical Group CurrentSince Mar 1, 2025 Accepting new patients
St. Joseph Medical Group Surgery CurrentSince Mar 1, 2025 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
New York University Surgery CurrentSince Oct 1, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Sep 1, 2022 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
St. Alexius Medical Center CurrentSince Aug 8, 2019 Accepting new patients
Long Island Community Hospital at NYU Langone Health Past Accepting new patients
Southern Connecticut Vascular Center, LLC Vascular Surgery Past Accepting new patients

Locations

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

100 Hospital Rd
Ste 115
East Patchogue, NY 11772
Phone (631) 228-5830

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224

700 Stewart Ave
Garden City, NY 11530
Phone (516) 222-2020

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

200 Old Country Rd
Ste 120
Mineola, NY 11501
Phone (516) 633-1220

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Networks

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

Interoperability endpoints

  • Direct secure messaging: jrubin242461@wellspan.direct-ci.com
  • Direct secure messaging: jrubin@direct.wtbyhosp.org
  • Direct secure messaging: jrubin1055833@nychhc.direct-ci.com
  • Direct secure messaging: jrubin230537@nyumc.direct-ci.com
  • Direct secure messaging: jrubin35883@direct.garnethealth.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 10

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1245324359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304721",
            "telephone_number": "516-663-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117067381",
            "country_code": "US",
            "telephone_number": "631-581-4400",
            "fax_number": "631-277-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JONATHON",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "231751",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301091453",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "231751",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "046504",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "231751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02818091",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrubin35883@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrubin230537@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "700 Stewart Ave",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115304721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.