Individual provider Active NPI

Craig S. Rubenstein, DC

  • Chiropractor
  • Medford, NY
National Provider Identifier
1487673877
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005828-1 Issued in NY
Practice address
258 Granny Rd
Medford, NY 11763-3013
Phone
(631) 696-2039
Fax
(631) 451-1733
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005828-1 NY Primary

Addresses

Primary practice location

258 Granny Rd
Medford, NY 11763-3013

Mailing address

258 Granny Rd
Medford, NY 11763-3013
Phone (631) 696-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000768 NY Practitioner - Chiropractic 8022278795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 W 46TH St
New York, NY 10036-4103
Phone (631) 696-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005828-1NYMDChiropractor
005828NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig S Rubenstein DC PC CurrentSince Nov 8, 2011 Accepting new patients

Locations

33 W 46th St
New York, NY 10036
Phone (212) 586-7830

Organizations & group practices 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1487673877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GRANNY RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633013",
            "telephone_number": "631-696-2039",
            "fax_number": "631-451-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GRANNY RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633013",
            "telephone_number": "631-696-2039",
            "fax_number": "631-451-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "CRAIG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005828-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.