Organization Active NPI

New York University

Doing business as NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1285826438
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Faculty Group Practice
Practice address
3301 Quantum Blvd
Boynton Beach, FL 33426-8668
Phone
(877) 648-2964
NPI assigned
Aug 13, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Andrew T. Rubin
Title
Sr Asst Dean for Clinical Affairs
Phone
(212) 263-2672

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Pediatric Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088P0231X

Addresses

Primary practice location

3301 Quantum Blvd
Boynton Beach, FL 33426-8668

Mailing address

PO Box 415662
Boston, MA 02241-5662
Phone (877) 648-2964

Other practice location 1

111 Broadway
2nd Fl
New York, NY 10006-1901
Phone (877) 648-2964

Other names 1

  • NYU Faculty Group Practice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC/ Ally Office

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, CA, MA, NM, CT, PA, OH, WA, UT, CO, TX, NV, AZ, TN, VA, NC, MO, HI, SC, MD, LA, DC, MI, OR, GA29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
O20081202000185 NY Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 2,607 practitioners
1 other NPI on this enrollment
Practice locations: Forest Hills, NY; Ridgewood, NY; Rego Park, NY; Laurelton, NY; Jamaica, NY; Glendale, NY; Flushing, NY; Astoria, NY…
O20090822000026 NY Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 8,689 practitioners
1 other NPI on this enrollment
O20171010001595 NY DME Supplier - Physician - General Practice 1355232422 Practice locations: New York, NY
O20180118002059 FL Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 205 practitioners
Practice locations: West Palm Beach, FL; Gulf Breeze, FL; Boynton Beach, FL; Atlantis, FL; Delray Beach, FL
O20210607002920 CA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 18 practitioners
Practice locations: Los Angeles, CA; Newport Beach, CA; San Francisco, CA
O20220216001536 MA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 8 practitioners
Practice locations: Northampton, MA
O20220216001754 NM Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20220516001636 CT Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 12 practitioners
Practice locations: Hamden, CT; Guilford, CT
O20220526001331 PA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 8 practitioners
Practice locations: Philadelphia, PA
O20220728003517 OH Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Hinckley, OH
O20221129003201 WA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 5 practitioners
Practice locations: Seattle, WA
O20221130000774 UT Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20230518000980 CO Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 6 practitioners
Practice locations: Littleton, CO
O20230601002448 TX Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX
O20230801002962 NV Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20230810003323 AZ Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 4 practitioners
Practice locations: Queen Creek, AZ
O20231211001495 TN Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, TN
O20240222001868 VA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 5 practitioners
Practice locations: Charlottesville, VA
O20240612002515 NC Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 5 practitioners
Practice locations: Raleigh, NC
O20240904004671 MO Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO
O20240920000054 HI Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Lahaina, HI
O20241220000363 SC Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20250123002338 NY MDPP Supplier - in-Person MDPP Supplier 1355232422 Practice locations: New York, NY
O20250506000615 MD Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD
O20250703001845 LA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA
O20250723003899 DC Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20260217002212 MI Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI
O20260415000191 OR Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, OR
O20260618001462 GA Part B Supplier - Clinic/Group Practice 1355232422 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 373)

1515 N Flagler Dr
Ste 830
West Palm Beach, FL 33401

135 S La Salle St
Dept 7647
Chicago, IL 60674

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

360 Essex St
Ste 402
Hackensack, NJ 07601
Phone (201) 336-8840

3540 John F Kennedy Blvd
Ste T33
Jersey City, NJ 07307

377 Jersey Ave
Ste 280A
Jersey City, NJ 07302
Phone (201) 716-5850

2309 31st St
Astoria, NY 11105
Phone (718) 423-2020

3014 37th St
Fl 3
Astoria, NY 11103
Phone (332) 900-1550

3802 31st Ave
Fl 1
Astoria, NY 11103

872 Atlantic Ave
Baldwin, NY 11510
Phone (516) 223-1849

185 Central Ave
Fl 3
Bethpage, NY 11714
Phone (516) 758-8600

2157 Tomlinson Ave
Bronx, NY 10461
Phone (718) 794-2501

132 Parkway Rd
Ste 2
Bronxville, NY 10708

77 Pondfield Rd
Ste 23
Bronxville, NY 10708
Phone (914) 337-4986

77 Pondfield Rd
Ste 2F1
Bronxville, NY 10708

77 Pondfield Rd
Ste 303
Bronxville, NY 10708

1203 Avenue J
Brooklyn, NY 11230
Phone (718) 252-5800

1220 Avenue P
Lowr
Brooklyn, NY 11229
Phone (718) 975-7802

1335 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 375-1600

153 Avenue P
Brooklyn, NY 11204
Phone (718) 232-7999

1552 49th St
Brooklyn, NY 11219
Phone (718) 435-2020

180 6th Ave
Rm 132
Brooklyn, NY 11217

186 Joralemon St
Fl 9
Brooklyn, NY 11201
Phone (929) 455-2399

2044 Ocean Ave
Ste A5
Brooklyn, NY 11230

217 Ovington Ave
Brooklyn, NY 11209
Phone (718) 238-0098

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NYU Langone HospitalsNew York, NY, CCN 330214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone Hospitals Psychiatric UnitNew York, NY, CCN 33S214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone HospitalsMineola, NY, CCN 33021401 Hospital Operational/Managerial Control Aug 1, 2019
NYU Langone Amb Care CommackGarden City, NY, CCN 337187 Home health agency Operational/Managerial Control Apr 1, 2015

Practitioners & affiliated clinicians

Practitioners 9,032

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.

View all 9,032

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1285826438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415662",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415662",
            "telephone_number": "877-648-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268668",
            "telephone_number": "877-648-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Broadway",
            "address_2": "2nd Fl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061901",
            "country_code": "US",
            "telephone_number": "877-648-2964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR ASST DEAN FOR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "212-263-2672"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Ally Office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NYU Faculty Group Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.