Individual provider Active NPI

Jerry A Rubano, MD

  • Surgical Critical Care Physician
  • East Patchogue, NY
National Provider Identifier
1700046034
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
261957 Issued in NY
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

Updated by the provider on May 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728005589 NY Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 2860706371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

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 Hospital, Bay Shore, NY, CCN 330043
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
261957NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Nov 1, 2025 Accepting new patients
New York University CurrentSince Dec 6, 2021 Accepting new patients
New York University Surgery CurrentSince Dec 6, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.