Individual provider Active NPI

Joel Adam Rubenstein, M.D.

  • Pediatrics Physician
  • Dade City, FL
National Provider Identifier
1306815337
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME78652 Issued in FL
Practice address
14027 5TH St
Dade City, FL 33525-4302
Phone
(352) 518-2000
Fax
(352) 567-1974
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME78652 FL Primary

Addresses

Primary practice location

14027 5TH St
Dade City, FL 33525-4302

Mailing address

PO Box 232
Dade City, FL 33526-0232
Phone (352) 518-2000

Other identifiers 1

IdentifierTypeStateIssuer
264916100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000807 FL Practitioner - Pediatric Medicine 6800825902 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME78652FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Dec 19, 2017 Accepting new patients
North Okaloosa Clinic Corp CurrentSince Apr 12, 2015 Accepting new patients
The Nemours Foundation CurrentSince Dec 19, 2017 Accepting new patients
North Okaloosa Clinic Corp Pediatrics CurrentSince Apr 12, 2015 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Crestview Hospital Company LLC Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients

Locations

550 Redstone Ave W
Ste 470
Crestview, FL 32536
Phone (850) 689-2223

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

400 Redstone Ave W
Ste B
Crestview, FL 32536

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177

Interoperability endpoints

  • Direct secure messaging: jrubenst@yourcarecommunity.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1306815337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260232",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 5TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254302",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "JOEL",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264916100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.