Active NPI
Ian M. Rubins, MD, PC
- Specialist
- Greenwich, CT
National Provider Identifier
1689854192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 033766
- Legal business name
- IAN M. RUBINS, MD, PC
- Practice address
- 4 Dearfield Dr
Suite 106
Greenwich, CT 06831-5351 - Phone
- (203) 618-0687
- Fax
- (203) 869-0019
- NPI assigned
- Nov 13, 2007
- Last updated
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta H Donis
- Title
- Billing Administrator
- Phone
- (203) 618-0687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 033766 | CT | Primary |
Addresses
Primary practice location
4 Dearfield Dr
Suite 106
Greenwich, CT 06831-5351
Mailing address
4 Dearfield Dr
Suite 106
Greenwich, CT 06831-5351
Phone (203) 618-0687
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010033766CT03 | Other | CT | ANTHEM BCBS |
| 05676572 | Other | CT | AETNA |
| P967462 | Other | CT | OXFORD |
| CU1896 | Other | CT | ACS HEALTHNET |
| 1336207968 | Other | CT | INDIVIDUAL PROVIDER NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Bronx, NY
- NPI 1063507804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1689854192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DEARFIELD DR",
"address_2": "SUITE 106",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315351",
"telephone_number": "203-618-0687",
"fax_number": "203-869-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DEARFIELD DR",
"address_2": "SUITE 106",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315351",
"telephone_number": "203-618-0687",
"fax_number": "203-869-0019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IAN M. RUBINS, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "DONIS",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "BILLING ADMINISTRATOR",
"authorized_official_telephone_number": "203-618-0687"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "033766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010033766CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "05676572",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P967462",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTHNET",
"identifier": "CU1896",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER NPI",
"identifier": "1336207968",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.