Active NPI
Jonathon Aaron Rubin, M.D.
- Vascular Surgery Physician
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 231751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02818091 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General 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
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
- Penn State Health St. Joseph
- NYU Langone Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301091453 | MI | MD | Surgery Physician |
| 231751 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| St. Joseph Medical Group | Current | Accepting new patients | |
| St. Joseph Medical Group | Surgery | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| New York University | Surgery | Current | Accepting new patients |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | 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
- jrubin242461@wellspan.direct-ci.com
- jrubin@direct.wtbyhosp.org
- jrubin1055833@nychhc.direct-ci.com
- jrubin230537@nyumc.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1972548337
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1366597544
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.