Individual provider Active NPI

Alan Lawrence Rubin, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1669697793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151093 Issued in NY
Practice address
2270 Kimball St
Suite 206
Brooklyn, NY 11234-5139
Phone
(516) 897-0277
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 151093 NY Primary

Addresses

Primary practice location

2270 Kimball St
Suite 206
Brooklyn, NY 11234-5139

Mailing address

1233 Beech St
#48
Atlantic Beach, NY 11509-1600
Phone (516) 897-0277

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
I20120302000046 NY Practitioner - Psychiatry 0143489674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4015 Ave U
Brooklyn, NY 11234-5117
Phone (516) 897-0277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Psychiatric Services PC Psychiatry CurrentSince Mar 2, 2012 Accepting new patients

Locations

4015 Avenue U
Brooklyn, NY 11234
Phone (516) 672-1567

520 Franklin Ave
Ste 214
Garden City, NY 11530
Phone (516) 747-7720

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669697793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 BEECH ST",
            "address_2": "#48",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091600",
            "telephone_number": "516-897-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 KIMBALL ST",
            "address_2": "SUITE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345139",
            "telephone_number": "516-897-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ALAN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "151093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.