Individual provider Active NPI

Alexandra Louise Rubenstein, FNP-C, RN

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1780294595
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346329 Issued in NY
Practice address
150 Sims Dr
Syracuse, NY 13244-9528
Phone
(315) 443-8000
Fax
(855) 710-2816
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346329 NY Primary

Addresses

Primary practice location

150 Sims Dr
Syracuse, NY 13244-9528

Mailing address

206 Berkeley Dr
Syracuse, NY 13210-3040
Phone (315) 558-7360

Other practice location 1

1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001002266 NY Practitioner - Nurse Practitioner 6002235553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 6, 2020 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Syracuse University Past Accepting new patients

Locations

8003 Brewerton Rd
Cicero, NY 13039
Phone (315) 288-4006

7851 Brewerton Rd
Cicero, NY 13039

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1600 Erie Blvd E
Syracuse, NY 13210
Phone (315) 401-3204

Organizations & group practices 3

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1780294595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BERKELEY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103040",
            "telephone_number": "315-558-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SIMS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132449528",
            "telephone_number": "315-443-8000",
            "fax_number": "855-710-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Erie Blvd E",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101212",
            "country_code": "US",
            "telephone_number": "315-401-3204",
            "fax_number": "315-401-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "ALEXANDRA",
        "middle_name": "LOUISE",
        "credential": "FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.