Individual provider Active NPI

Yelena Rubinshteyn, M.D

  • Family Medicine Physician
  • Rego Park, NY
National Provider Identifier
1619312220
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
287367-01 Issued in NY
Practice address
9713 64TH Rd
Rego Park, NY 11374-2258
Phone
(718) 896-4090
NPI assigned
May 8, 2013
Reactivated
Mar 9, 2018
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 287367-01 NY Primary

Addresses

Primary practice location

9713 64TH Rd
Rego Park, NY 11374-2258

Mailing address

9713 64TH Rd
Rego Park, NY 11374-2258

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
I20170627000106 NY Practitioner - Family Practice 5991074403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rubinshteyn Medical PCGroup PAC ID 9335137447, 3 clinicians

Practice addresses (Care Compare)

9713 64TH Rd
Rego Park, NY 11374-2274
Phone (718) 896-4090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287367-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubinshteyn Medical PC Family Medicine CurrentSince Apr 22, 2017 Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1619312220",
    "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": "113742258"
        },
        {
            "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": "113742258",
            "telephone_number": "718-896-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSHTEYN",
        "first_name": "YELENA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "deactivation_date": "2018-01-24",
        "reactivation_date": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "287367-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.