NPIMap

Organization Active NPI

New York University

Doing business as NYU Langone Medical Associates - Penn District

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1720839533
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEW YORK UNIVERSITY
Doing business as
NYU Langone Medical Associates - Penn District
Practice address
3301 Quantum Blvd
Boynton Beach, FL 33426-8668
Phone
(877) 648-2964
NPI assigned
Mar 29, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Andrew Rubin
Title
Sr. VP Clinical Affairs & Amb. Care
Phone
(212) 263-2672

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Podiatrist 213E00000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

3301 Quantum Blvd
Boynton Beach, FL 33426-8668

Mailing address

360 W 31St St FL 3
New York, NY 10001-2861
Phone (646) 987-3436

Other practice location 1

360 W 31st St Fl 3
New York, NY 10001-2861
Phone (646) 987-3436

Other names 1

  • NYU Langone Medical Associates - Penn District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241102000037 NY DME Supplier - Multi-Specialty - Physician 1355232422 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
NYU Neurosurgery Associates105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

360 W 31st St
Fl 3
New York, NY 10001
Phone (646) 987-3436

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NYU Langone HospitalsNew York, NY, CCN 330214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone Hospitals Psychiatric UnitNew York, NY, CCN 33S214 Hospital Operational/Managerial Control Apr 1, 2015
NYU Langone HospitalsMineola, NY, CCN 33021401 Hospital Operational/Managerial Control Aug 1, 2019
NYU Langone Amb Care CommackGarden City, NY, CCN 337187 Home health agency Operational/Managerial Control Apr 1, 2015

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1720839533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 31ST ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012861",
            "telephone_number": "646-987-3436",
            "fax_number": "646-293-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268668",
            "telephone_number": "877-648-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W 31st St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012861",
            "country_code": "US",
            "telephone_number": "646-987-3436",
            "fax_number": "646-293-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SR. VP CLINICAL AFFAIRS & AMB. CARE",
        "authorized_official_telephone_number": "212-263-2672"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Langone Medical Associates - Penn District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NYU Langone Medical Associates - Penn District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.