Mark Rabin, PHD FACMG

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

CQP33537 Issued in NY

Practice address

Dianon Systems
200 Watson Boulevard
Stratford, CT 06615

Phone

(203) 380-4124

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487868550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COPPER BEECH DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102953",
            "telephone_number": "203-314-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIANON SYSTEMS",
            "address_2": "200 WATSON BOULEVARD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "203-380-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHD FACMG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "CQP33537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purple Hippo Counseling Services, LLC
• Florette Pursell, M.S. CCC-SLP
• Quality Medical Training Center
• Quest Diagnostics LLC
• R Journey to Empowerment
• Kenneth F Rabine, D.D.S.
• Reza Radmand, DMD
• James Patrick Ralabate, MD
• Andres Ramirez, M.D.
• Randolph Ramirez, MD

• Ph.D. Medical Genetics in Stratford, CT
• Providers in Stratford, CT by specialty
• Ph.D. Medical Genetics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.