Individual provider Active NPI

Joan Rubinstein, M.D.

  • Psychiatry Physician
  • Port Jefferson, NY
National Provider Identifier
1780650341
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
168760 Issued in NY
Practice address
60 N Country Rd
Suite 205
Port Jefferson, NY 11777-2188
Phone
(631) 331-0974
Fax
(631) 473-1547
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 168760 NY Primary

Addresses

Primary practice location

60 N Country Rd
Suite 205
Port Jefferson, NY 11777-2188

Mailing address

60 N Country Rd
Suite 205
Port Jefferson, NY 11777-2188
Phone (631) 331-0974

Other identifiers 1

IdentifierTypeStateIssuer
01087347MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780650341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 205",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-331-0974",
            "fax_number": "631-473-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "SUITE 205",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-331-0974",
            "fax_number": "631-473-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "168760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01087347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.