Organization Active NPI

Moshe Rubin, M.D., PLLC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1366612368
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
158806 Issued in NY
Legal business name
MOSHE RUBIN, M.D., PLLC
Practice address
1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone
(212) 772-1012
Fax
(212) 772-2877
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Moshe Rubin, M.D.
Title
Member
Phone
(212) 772-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 158806 NY Primary

Addresses

Primary practice location

1020 Park Ave
Floor 1
New York, NY 10028-0913

Mailing address

1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone (212) 772-1012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1366612368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-772-1012",
            "fax_number": "212-772-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-772-1012",
            "fax_number": "212-772-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE RUBIN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-772-1012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "158806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.