Individual provider Active NPI

Jonathan Rubins, M.D.

  • Hematology & Oncology Physician
  • Geneva, NY
National Provider Identifier
1255300877
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
116073-1 Issued in NY
Practice address
675 W Washington St
Interlakes Oncology & Hematology PC
Geneva, NY 14456
Phone
(315) 781-2250
Fax
(315) 781-0733
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 116073-1 NY Primary

Addresses

Primary practice location

675 W Washington St
Interlakes Oncology & Hematology PC
Geneva, NY 14456

Mailing address

211 White Spruce Blvd
Interlakes Oncology & Hematology PC
Rochester, NY 14623
Phone (585) 475-8728

Other identifiers 1

IdentifierTypeStateIssuer
00464526MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116073-1NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interlakes Oncology & Hematology PC Hematology & Oncology Past Accepting new patients
Podiatry Associates of Rochester, LLP Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1255300877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WHITE SPRUCE BLVD",
            "address_2": "INTERLAKES ONCOLOGY & HEMATOLOGY PC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-475-8728",
            "fax_number": "585-475-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W WASHINGTON ST",
            "address_2": "INTERLAKES ONCOLOGY & HEMATOLOGY PC",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-781-2250",
            "fax_number": "315-781-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINS",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "116073-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00464526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.