Individual provider Active NPI

Iris C. Rubin, NP

  • Family Nurse Practitioner
  • Ellenville, NY
National Provider Identifier
1336265826
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331142 Issued in NY
Practice address
6 Healthy Way
Ellenville, NY 12428-5612
Phone
(845) 647-4500
NPI assigned
Mar 22, 2007
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F331142 NY Primary
Registered Nurse 163W00000X 378068 NY

Addresses

Primary practice location

6 Healthy Way
Ellenville, NY 12428-5612

Mailing address

6 Healthy Way
Ellenville, NY 12428-5612
Phone (845) 647-4500

Other identifiers 1

IdentifierTypeStateIssuer
03167993MedicaidNY

Other names 1

  • Ms. Iris C. Arias Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000262 NY Practitioner - Nurse Practitioner 3375703382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

6 Healthy Way
Ellenville, NY 12428-5612
Phone (845) 647-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
378068NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
Sun River Health Inc Current Accepting new patients
The Institute for Family Health CurrentSince Feb 6, 2019 Accepting new patients
The Institute for Family Health CurrentSince Feb 6, 2019 Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1336265826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285612",
            "telephone_number": "845-647-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285612",
            "telephone_number": "845-647-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "IRIS",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331142",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "378068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03167993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "ARIAS",
            "middle_name": "C.",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.