Individual provider Active NPI

Susan E Rubin, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1558446682
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230942 Issued in NY
Practice address
690 Amsterdam Ave
New York, NY 10025-6901
Phone
(212) 866-4104
NPI assigned
Oct 26, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230942 NY Primary

Addresses

Primary practice location

690 Amsterdam Ave
New York, NY 10025-6901

Mailing address

535 West 110TH St
Westside Family Medicine
New York, NY 10025-6736
Phone (212) 280-4740

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
I20041115000851 NY Practitioner - Family Practice 5991769481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

230 W 17TH St
New York, NY 10011-5325
Phone (212) 206-5200

690 Amsterdam Ave
New York, NY 10025-6901
Phone (212) 865-4104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230942NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Family Medicine Current Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Oct 3, 2020 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Oct 5, 2016 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Oct 5, 2016 Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

349 E 149th St
Fl 2
Bronx, NY 10451
Phone (212) 965-4826

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Networks

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

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1558446682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WEST 110TH ST",
            "address_2": "WESTSIDE FAMILY MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256736",
            "telephone_number": "212-280-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256901",
            "telephone_number": "212-866-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.