Wound Physician Surgeon PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WOUND PHYSICIAN SURGEON PC

Practice address

11 Ralph PL
Staten Island, NY 10304-4401

Phone

(917) 952-3824

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Vladimir RubinshteynNPI 1174761373

Title

MD

Phone

(917) 952-3824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Rubinshteyn, MD

  • Trauma Surgery Physician
  • Staten Island, NY
  • NPI 1174761373

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1447820907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LONGFELLOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014615",
            "telephone_number": "917-952-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "917-952-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PHYSICIAN SURGEON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RUBINSHTEYN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-952-3824"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Workin, D.C.
• Aesha Worrell
• Cheryl B Worrell, D.M.D.
• Kenneth Wortman, MD
• Shye S Wortman, M.D.
• Barry N. Wright, PA,MW
• Brian Cody Wright, RN
• Christopher Wright, RN
• Lauren E Wright
• Rachel Wright, DPT

• Surgery Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.