Individual provider Active NPI

Brian Michael Rubenstein, D.D.S.

  • General Practice Dentistry
  • Woodbury, NY
National Provider Identifier
1336315878
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043325 Issued in NY
Practice address
800 Woodbury Rd Ste J
Woodbury, NY 11797-2503
Phone
(516) 364-3388
Fax
(516) 364-4766
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043325 NY Primary
General Practice Dentistry 1223G0001X 024177 NY

Addresses

Primary practice location

800 Woodbury Rd Ste J
Woodbury, NY 11797-2503

Mailing address

800 Woodbury Rd Ste J
Woodbury, NY 11797-2503
Phone (516) 364-3388

Other names 1

  • Dr. Kenneth Robert Rubenstein Other 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429000635 NY Order and Referring Only - DentistPractitioner - Dentist 9436458254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043325NYMDOrthopedic Physical Therapist
024177NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1336315878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD STE J",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-364-3388",
            "fax_number": "516-364-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD STE J",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-364-3388",
            "fax_number": "516-364-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043325",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "024177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "RUBENSTEIN",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.