Individual provider Active NPI

Ran Y Rubinstein, M. D.

  • Facial Plastic Surgery Physician
  • Newburgh, NY
National Provider Identifier
1477536654
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
213058 Issued in NY
Practice address
200 Stony Brook CT
Newburgh, NY 12550-6520
Phone
(845) 562-6673
Fax
(845) 839-2722
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 213058 NY Primary

Addresses

Primary practice location

200 Stony Brook CT
Newburgh, NY 12550-6520

Mailing address

200 Stony Brook CT
Newburgh, NY 12550-6520
Phone (845) 562-6673

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000109 NY Practitioner - Otolaryngology 4688664279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Stony Brook CT
Newburgh, NY 12550-6520
Phone (845) 863-1772

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laser & Cosmetic Surgery Specialists, PC CurrentSince Nov 1, 2008 Accepting new patients
ENT and Allergy Associates LLP Facial Plastic Surgery PastSince Mar 1, 2019 Accepting new patients

Locations

200 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 562-6673

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1477536654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506520",
            "telephone_number": "845-562-6673",
            "fax_number": "845-839-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506520",
            "telephone_number": "845-562-6673",
            "fax_number": "845-839-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "RAN",
        "middle_name": "Y",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "213058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.