NPIMap

Organization Active NPI

New York University

Doing business as NYU Langone Medical Associates - Patchogue

  • Podiatrist
  • East Patchogue, NY
National Provider Identifier
1275256273
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Langone Medical Associates - Patchogue
Practice address
100 Hospital Rd Ste 115
East Patchogue, NY 11772-8811
Phone
(631) 228-5830
Fax
(929) 455-9827
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Andrew Rubin
Title
VP, Clinical Affairs and Amb Care
Phone
(212) 263-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

100 Hospital Rd Ste 115
East Patchogue, NY 11772-8811

Mailing address

100 Hospital Rd Ste 115
East Patchogue, NY 11772-8811
Phone (631) 228-5830

Other names 1

  • NYU Langone Medical Associates - Patchogue Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2121646NYU Langone Medical Assoc- Patchogue100 Hospital Road - Suite 203, Patchogue, NY 11772Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
NYU Neurosurgery Associates105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1275256273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 115",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728811",
            "telephone_number": "631-228-5830",
            "fax_number": "929-455-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 115",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728811",
            "telephone_number": "631-228-5830",
            "fax_number": "929-455-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP, CLINICAL AFFAIRS AND AMB CARE",
        "authorized_official_telephone_number": "212-263-2672"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Langone Medical Associates - Patchogue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.