NPIMap

Organization Active NPI

Mark a Rubin MD PA

  • Primary Care Clinic/Center
  • Ft.Lauderdale, FL
National Provider Identifier
1508056276
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME82759 Issued in FL
Legal business name
MARK A RUBIN MD PA
Practice address
2601 Davie Blvd.
Ft.Lauderdale, FL 33312
Phone
(954) 689-8088
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Mark Rubin, M.D.NPI 1255354163
Title
President
Phone
(954) 689-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME82759 FL Primary

Addresses

Primary practice location

2601 Davie Blvd.
Ft.Lauderdale, FL 33312

Mailing address

2601 Davie Blvd.
Ft.Lauderdale, FL 33312
Phone (954) 689-8088

National Provider Directory

National Provider Directory

Locations

2601 Davie Blvd
Ft Lauderdale, FL 33312
Phone (754) 216-2458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1508056276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DAVIE BLVD.",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-689-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DAVIE BLVD.",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-689-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A RUBIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-689-8088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME82759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft.Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.