Mark A Rubin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME82759 Issued in FL

Practice address

789 S Federal Hwy
Suite 106
Fort Lauderdale, FL 33316-1245

Phone

(954) 689-8088

NPI assigned

Jul 25, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• East Side Medical Center of South Florida LLC

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1639190184
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1255354163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE",
            "address_2": "THIRD FLOOR CBO-PBO",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-689-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 S FEDERAL HWY",
            "address_2": "SUITE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161245",
            "telephone_number": "954-689-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262418400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill M Rubin, LCSW
• Joshua Adam Rubin, MD
• Keith Harrison Rubin, M.D.
• Lawrence C. Rubin, PH.D.
• Lisa B Rubin, SLP-A
• Vicki Rubin, LCSW
• Carol B Rubinson, MD
• Howard Rubinson, MD
• Mark H Rubinstein, MD
• Heysu Rubio-Gomez, MD

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.