Individual provider Active NPI

Edward Rubinchik, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1487632568
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
199579 Issued in NY
Practice address
118 W End Ave
Brooklyn, NY 11235
Phone
(718) 332-6200
Fax
(718) 332-8213
NPI assigned
Jan 9, 2006
Last updated
Jul 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 199579 NY Primary

Addresses

Primary practice location

118 W End Ave
Brooklyn, NY 11235

Mailing address

118 W End Ave
Brooklyn, NY 11235
Phone (718) 332-6200

Other identifiers 1

IdentifierTypeStateIssuer
01795399MedicaidNY

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
I20100327000550 NY Practitioner - Ophthalmology 2466595319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Practice addresses (Care Compare)

2613 E 16TH St
FL 2
Brooklyn, NY 11235-3805
Phone (718) 265-9900

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as individual
Quality
52.85
Improvement activities
40
Cost
79.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Medical PLLC Ophthalmology CurrentSince Nov 15, 2013 Accepting new patients
New Vision Ophthalmology Ophthalmology Past Accepting new patients
Retina Group P.C. Ophthalmology PastSince Nov 15, 2013 Accepting new patients
New Vision Ophthalmology PC Ophthalmology Past Accepting new patients

Locations

665 Pelham Pkwy N
Apt 102
Bronx, NY 10467
Phone (347) 324-4207

2327 83rd St
Ste B
Brooklyn, NY 11214
Phone (718) 265-9900

2613 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (718) 265-9900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1487632568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-6200",
            "fax_number": "718-332-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-6200",
            "fax_number": "718-332-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINCHIK",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "199579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01795399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.