Active NPI
Barry Rubin, M.D.
- Physical Medicine & Rehabilitation Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 169794-1
- Practice address
- 635 Belle Terre Rd Ste 209B
Port Jefferson, NY 11777-1935 - Phone
- (631) 246-9501
- Fax
- (631) 246-9570
- NPI assigned
- Oct 19, 2006
- Last updated
- Feb 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 169794-1 | NY | Primary |
Addresses
Primary practice location
635 Belle Terre Rd Ste 209B
Port Jefferson, NY 11777-1935
Mailing address
46 Route 25a
Sutie 4
Setauket, NY 11733-2820
Phone (631) 246-9501
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911050 | Other | NY | PHS |
| 10173 | Other | NY | ANTHEM # |
| P-34032414 | Other | NY | MULTIPLAN |
| 10514507 | Other | NY | CAQH |
| 27313 | Other | NY | MASTER CARE |
| P383718 | Other | NY | OXFORD PROVIDER# |
| 76235 | Other | NY | VYTRA PROVIDER # |
| 250010334 | Other | NY | RAILROAD MEDICARE |
| 1078638000 | Other | NY | DEPT OF LABOR |
| 205383 | Other | NY | HIP |
| 4330561 | Other | NY | AETNA PIN # |
| CIGNA | Other | NY | 43165004 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169794-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group PC | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| True North Medical Group PC | Past | Accepting new patients |
Locations
8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130
1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
222 E Middle Country Rd
Ste 108
Smithtown, NY 11787
Phone (631) 706-2800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- barryrubin@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Orlin & Cohen Medical Specialists Group
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
-
- Specialist
- Setauket, NY
- NPI 1922391564
-
dba Orlin and Cohen Medical Specialist Group
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
-
- Cardiovascular Disease Physician
- Bayside, NY
- NPI 1669762258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1326120601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ROUTE 25A",
"address_2": "SUTIE 4",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117332820",
"telephone_number": "631-246-9501",
"fax_number": "631-246-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD STE 209B",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771935",
"telephone_number": "631-246-9501",
"fax_number": "631-246-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "BARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "169794-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "911050",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM #",
"identifier": "10173",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P-34032414",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10514507",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER CARE",
"identifier": "27313",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER#",
"identifier": "P383718",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA PROVIDER #",
"identifier": "76235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250010334",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "1078638000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "205383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN #",
"identifier": "4330561",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "43165004",
"identifier": "CIGNA",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.