Jack Myron Rubenstein, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

132076 Issued in NY

Practice address

70 Glen Cove Rd
Ste 301
Roslyn HGTS, NY 11577-1726

Phone

(516) 621-1502

Fax

(516) 621-1162

NPI assigned

May 11, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackrubenstein@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• Franklin Hospital

  • General Acute Care Hospital
  • Valley Stream, NY
  • NPI 1528075108
  NPD (past)
• Internal Medicine Associates of East Hills,LLP

  • Internal Medicine Physician
  • Roslyn Heights, NY
  • NPI 1457416703
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1669422622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD",
            "address_2": "STE 301",
            "city": "ROSLYN HGTS",
            "state": "NY",
            "postal_code": "115771726",
            "telephone_number": "516-621-1502",
            "fax_number": "516-621-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD",
            "address_2": "STE 301",
            "city": "ROSLYN HGTS",
            "state": "NY",
            "postal_code": "115771726",
            "telephone_number": "516-621-1502",
            "fax_number": "516-621-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "JACK",
        "middle_name": "MYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "132076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Laxer, MD
• Milton Masur, MD
• Brian Mazure, MD

• Internal Medicine Physician in Roslyn HGTS, NY
• Providers in Roslyn HGTS, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.