Organization Active NPI

Rubinshteyn Medical PC

  • Family Medicine Physician
  • Rego Park, NY
National Provider Identifier
1528082039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209293 Issued in NY
Legal business name
RUBINSHTEYN MEDICAL PC
Practice address
9713 64TH Rd
Rego Park, NY 11374-2274
Phone
(718) 968-3420
Fax
(718) 896-4095
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yanina Rubinshteyn, MDNPI 1285680728
Title
President
Phone
(718) 968-3420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 209293 NY Primary

Addresses

Primary practice location

9713 64TH Rd
Rego Park, NY 11374-2274

Mailing address

9713 64TH Rd
Rego Park, NY 11374-2274
Phone (718) 968-3420

Other identifiers 1

IdentifierTypeStateIssuer
01828615MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081201000002 NY Part B Supplier - Clinic/Group Practice 9335137447 Receives reassigned benefits from 3 practitioners
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528082039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 64TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742274",
            "telephone_number": "718-968-3420",
            "fax_number": "718-896-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 64TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742274",
            "telephone_number": "718-968-3420",
            "fax_number": "718-896-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINSHTEYN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBINSHTEYN",
        "authorized_official_first_name": "YANINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-968-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01828615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.