Individual provider Active NPI

Lance Rubel, MD

  • Nephrology Physician
  • Roslyn, NY
National Provider Identifier
1568406460
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2210871 Issued in NY
Practice address
1044 Northern Blvd
Ste 102
Roslyn, NY 11576-1507
Phone
(516) 801-6959
Fax
(516) 801-6958
NPI assigned
Jun 15, 2006
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2210871 NY Primary

Addresses

Primary practice location

1044 Northern Blvd
Ste 102
Roslyn, NY 11576-1507

Mailing address

1044 Northern Blvd
Ste 102
Roslyn, NY 11576-1507
Phone (516) 801-6959

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
I20040607001549 NY Practitioner - Internal MedicinePractitioner - Nephrology 4284617796 Reassigns benefits to 1 organization
Practice locations: Roslyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
State University of New York Downstate Medical Center, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2210871NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC Nephrology CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Marc J Yunis MD PC Nephrology Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

1044 Northern Blvd
Ste 102
Roslyn, NY 11576
Phone (516) 317-1653

Networks

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

Interoperability endpoints

  • Direct secure messaging: lrubel@prine.curemd.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1568406460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "STE 102",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-801-6959",
            "fax_number": "516-801-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "STE 102",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-801-6959",
            "fax_number": "516-801-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "2210871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.