Jay Michael Rubenstein, BOCP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

C50466 Issued in MS

Practice address

3004 Bienville Blvd Ste 1
Ocean Springs, MS 39564-4370

Phone

(228) 875-3828

Fax

(228) 436-3580

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Source of the Gulf Coast Inc.

  • Prosthetic/Orthotic Supplier
  • Mobile, AL
  • NPI 1487170197

  Prosthetist

  NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1285247783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 BIENVILLE BLVD STE 1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644370",
            "telephone_number": "228-875-3828",
            "fax_number": "228-436-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 BIENVILLE BLVD STE 1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644370",
            "telephone_number": "228-875-3828",
            "fax_number": "228-436-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "credential": "BOCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MS",
            "license": "C50466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rossow Clinic of Ocean Springs PA
• William N Rossow, DC
• Mark Andrew Rountree, P.A.
• Tasheka Rowe
• Rishi Ashok Roy, M.D.
• Elizabeth Ann Rueff
• Sidney Wayne Rushing, CRNA
• Chessi Russi
• Bradley Carnell Sams, M.D.
• Sheli Milam Sams

• Prosthetist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Prosthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.