Organization Active NPI

Rubin Brecher MD LLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1275803892
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
165798 Issued in NY
Legal business name
RUBIN BRECHER MD LLC
Practice address
736 Ocean Pkwy
Brooklyn, NY 11230-1116
Phone
(718) 851-7786
Fax
(718) 853-8239
NPI assigned
Jan 12, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. Rubin Brecher, M.D.NPI 1609842749
Title
Owner
Phone
(718) 851-1186

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 165798 NY Primary

Addresses

Primary practice location

736 Ocean Pkwy
Brooklyn, NY 11230-1116

Mailing address

6 Meadow LN
Lawrence, NY 11559-1828
Phone (718) 851-1186

Other identifiers 9

IdentifierTypeStateIssuer
172663OtherNYWELLCARE
01168941MedicaidNY
28967POtherNYHIP
4265264OtherNYAETNA
29160101OtherNYHEALTHPLUS
165798SOtherNYHEALTHCARE PARTNERS
KS265OtherNYOXFORD
IC3114OtherNYHEALTHNET
16075OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130708000079 NY Part B Supplier - Clinic/Group Practice 7315187861 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Lawrence, NY

National Provider Directory

National Provider Directory

Locations

1180 Elton St
Brooklyn, NY 11239
Phone (718) 642-8219

Practitioners & affiliated clinicians

Practitioners 4

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1275803892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEADOW LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591828",
            "telephone_number": "718-851-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301116",
            "telephone_number": "718-851-7786",
            "fax_number": "718-853-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN BRECHER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "BRECHER",
        "authorized_official_first_name": "RUBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-851-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "165798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "172663",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "28967P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4265264",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "29160101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PARTNERS",
            "identifier": "165798S",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IC3114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "16075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.