Organization Active NPI

Allen Rubin, M.D. P.C.

  • Ophthalmology Physician
  • Lawrence, NY
National Provider Identifier
1265706089
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138607 Issued in NY
Legal business name
ALLEN RUBIN, M.D. P.C.
Practice address
7 Regent Drive
Lawrence, NY 11559
Phone
(516) 371-9350
Fax
(516) 371-0205
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Allen Rubin, MDNPI 1023142742
Title
President
Phone
(516) 371-9350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 138607 NY Primary

Addresses

Primary practice location

7 Regent Drive
Lawrence, NY 11559

Mailing address

7 Regent Drive
Lawrence, NY 11559
Phone (516) 371-9350

Other identifiers 1

IdentifierTypeStateIssuer
00774718MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000037 NY Part B Supplier - Clinic/Group Practice 8729249933 Receives reassigned benefits from 1 practitioner
Practice locations: Uniondale, NY; New York, NY; Brooklyn, NY; Little Neck, NY; Lawrence, NY; Island Park, NY; Forest Hills, NY; Flushing, NY…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1265706089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REGENT DRIVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-371-9350",
            "fax_number": "516-371-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 REGENT DRIVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-371-9350",
            "fax_number": "516-371-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN RUBIN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-371-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00774718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.