Jack D Rubin, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

086041 Issued in NY

Practice address

161 West 61St Street, Apt. 18B
New York City, NY 10023

Phone

(732) 846-2777

Fax

(732) 828-1950

NPI assigned

Jun 28, 2006

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1619904174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WEST 61ST STREET APT. 18B",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "732-846-2777",
            "fax_number": "732-828-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WEST 61ST STREET, APT. 18B",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "732-846-2777",
            "fax_number": "732-828-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JACK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "086041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverstone Senior Life Services
• Robert M Romanoff MD PC
• Marsha D Rosenberg, M.D
• Atara Chana Rosenfeld, RPA-C
• Susan Roth, M.S./CCC/SLP
• Peter H Rubinstein, DMD
• Steven A Saccoliti, PT
• Hildenia Sandin, DMD
• Walid Mohammed Aslam Sange
• Elizabeth Sangster, M.B.B.S

• Gastroenterology Physician in New York City, NY
• Providers in New York City, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.