Aleksandr Rubinov

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1477280212 Issued in NY

Practice address

8804 63Rd Dr Apt 402
Rego Park, NY 11374-3851

Phone

(917) 992-2940

NPI assigned

Mar 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• I.B.T Milestones LLC

  • Early Intervention Provider Agency
  • Rego Park, NY
  • NPI 1437008505
  NPD Authorized official

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1396320172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 63RD DR APT 402",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743851",
            "telephone_number": "917-992-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 63RD DR APT 402",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743851",
            "telephone_number": "917-992-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINOV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1363021191",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1477280212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Adult Daycare LLC
• Royal Registry Inc.
• Royal Rehab Physical Therapy PC
• RT Physical Therapy and Rehabilitation, PLLC
• Dmitriy Rubenov, PHARM.D
• David Rubinov
• Gabriyel Rubinov
• Stella Rubinov, MSED
• Elisheva Rubinova, D.O.
• Rakhil Rubinova, D.O.

• Early Intervention Provider Agency in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.