Organization Active NPI

Craig S Rubenstein DC PC

  • Nutrition Chiropractor
  • New York, NY
National Provider Identifier
1275659351
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X005828-1 Issued in NY
Legal business name
CRAIG S RUBENSTEIN DC PC
Practice address
71 Park Ave
Suite 1C
New York, NY 10016-2507
Phone
(212) 213-9494
Fax
(212) 213-9495
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Craig S Rubenstein, DCNPI 1487673877
Title
Owner
Phone
(212) 213-9494

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
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X X005828-1 NY Primary

Addresses

Primary practice location

71 Park Ave
Suite 1C
New York, NY 10016-2507

Mailing address

258 Granny Rd
Medford, NY 11763-3013
Phone (631) 696-2039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000564 NY Part B Supplier - Clinic/Group Practice 1759540826 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

33 W 46th St
New York, NY 10036
Phone (212) 586-7830

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1275659351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GRANNY RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633013",
            "telephone_number": "631-696-2039",
            "fax_number": "631-451-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PARK AVE",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162507",
            "telephone_number": "212-213-9494",
            "fax_number": "212-213-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG S RUBENSTEIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-213-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X005828-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.