Active NPI
Hal Ira Rubin, MD
- Psychiatry Physician
- Plattsburgh, NY
National Provider Identifier
1326048653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 183085-1
- Practice address
- 11 Hammond LN
Suite a
Plattsburgh, NY 12901-2003 - Phone
- (518) 561-0063
- Fax
- (518) 561-0947
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 183085-1 | NY | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | 183085-1 | NY |
Addresses
Primary practice location
11 Hammond LN
Suite a
Plattsburgh, NY 12901-2003
Mailing address
11 Hammond LN
Suite a
Plattsburgh, NY 12901-2003
Phone (518) 561-0063
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01201216 | Medicaid | NY | |
| 209117 | Other | NY | MVP |
| 8101940 | Other | GHI | |
| 000405146001 | Other | BSNE NY | |
| 137057 | Other | NY | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183085-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1326048653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HAMMOND LN",
"address_2": "SUITE A",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012003",
"telephone_number": "518-561-0063",
"fax_number": "518-561-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HAMMOND LN",
"address_2": "SUITE A",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012003",
"telephone_number": "518-561-0063",
"fax_number": "518-561-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "HAL",
"middle_name": "IRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "183085-1",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "183085-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01201216",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "209117",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8101940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNE NY",
"identifier": "000405146001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "137057",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.