Individual provider Active NPI

Greg Forrest Rubinstein, DPM

  • Foot Surgery Podiatrist
  • Teaneck, NJ
National Provider Identifier
1376548792
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00118800 Issued in NJ
Practice address
811 Grange Rd
Teaneck, NJ 07666-4409
Phone
(201) 836-7173
Fax
(201) 836-0783
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00118800 NJ Primary

Addresses

Primary practice location

811 Grange Rd
Teaneck, NJ 07666-4409

Mailing address

811 Grange Rd
Teaneck, NJ 07666-4409
Phone (201) 836-7173

Other identifiers 1

IdentifierTypeStateIssuer
0347701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060121000021 NJ Practitioner - Podiatry 2567486194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Foot and Ankle Care, LLCGroup PAC ID 8921254301, 2 clinicians

Practice addresses (Care Compare)

811 Grange Rd
Teaneck, NJ 07666-4409
Phone (201) 836-7173

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue747
Removal of skin lesions11
Removal of nail tissue41
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Foot and Ankle Care, LLC Foot Surgery CurrentSince Mar 1, 2022 Accepting new patients
Greg F Rubinstein DPM PA CurrentSince Dec 1, 2003 Accepting new patients

Locations

811 Grange Rd
Teaneck, NJ 07666
Phone (201) 836-7173

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1376548792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GRANGE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664409",
            "telephone_number": "201-836-7173",
            "fax_number": "201-836-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GRANGE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664409",
            "telephone_number": "201-836-7173",
            "fax_number": "201-836-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "GREG",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00118800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.