Active NPI
Jerry A Rubano, MD
- Surgical Critical Care Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 261957
- Practice address
- 100 Hospital Rd Ste 106
East Patchogue, NY 11772-8811 - Phone
- (631) 228-5800
- Fax
- (929) 455-9828
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 261957 | NY | |
| Trauma Surgery Physician | 2086S0127X | 261957 | NY | |
| Surgical Critical Care Physician | 2086S0102X | 261957 | NY | Primary |
Addresses
Primary practice location
100 Hospital Rd Ste 106
East Patchogue, NY 11772-8811
Mailing address
100 Hospital Rd Ste 106
East Patchogue, NY 11772-8811
Phone (631) 228-5800
Other practice location 1
285 Sills Rd Bldg 14
East Patchogue, NY 11772-4851
Phone (631) 447-8300
Other practice location 2
Stony Brook University Hospital
Medical Staff Office T14
Stony Brook, NY 11794-7148
Phone (631) 444-2754
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrubano481793@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- New York Medical College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
285 Sills Rd
BLDG 14
East Patchogue, NY 11772-4851
Phone (631) 447-8300
301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 986-3308
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- Long Island Community Hospital
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261957 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Surgery | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Long Island Community Hospital at NYU Langone Health | Past | Accepting new patients | |
| South Shore University Hospital | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
250 E Main St
Ste 1
Bay Shore, NY 11706
Phone (631) 390-7100
100 Hospital Rd
Ste 106
East Patchogue, NY 11772
Phone (631) 228-5800
285 Sills Rd
Bldg 14
East Patchogue, NY 11772
Phone (631) 447-8300
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jrubano481793@nyumc.direct-ci.com
Organizations & group practices 6
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1053354100
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1700046034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD STE 106",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728811",
"telephone_number": "631-228-5800",
"fax_number": "929-455-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD STE 106",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728811",
"telephone_number": "631-228-5800",
"fax_number": "929-455-9828"
}
],
"practiceLocations": [
{
"address_1": "285 Sills Rd Bldg 14",
"address_purpose": "LOCATION",
"city": "East Patchogue",
"state": "NY",
"postal_code": "117724851",
"country_code": "US",
"telephone_number": "631-447-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Stony Brook University Hospital",
"address_2": "Medical Staff Office T14",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117947148",
"country_code": "US",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBANO",
"first_name": "JERRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "261957",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "261957",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "261957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrubano481793@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "285 Sills Rd Bldg 14",
"city": "East Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117724851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.