Active NPI
David Rubin, MD
- Anatomic Pathology & Clinical Pathology Physician
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 206748
- Practice address
- 255 Lafayette Ave
Good Samaritan Hospital
Suffern, NY 10901-4812 - Phone
- (845) 368-5179
- Fax
- (201) 661-7297
- NPI assigned
- Jun 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 206748 | NY | Primary |
Addresses
Primary practice location
255 Lafayette Ave
Good Samaritan Hospital
Suffern, NY 10901-4812
Mailing address
535 E Crescent Ave
C/O Histopathology Services, LLC
Ramsey, NJ 07446-2922
Phone (201) 661-7280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220033369 | Other | NY | RAILROAD MEDICARE |
| 0038512 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Harvard Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Laurel Ave
Suite 100
Cornwall, NY 12518-1403
Phone (845) 458-9000
19 Laurel Ave
Cornwall, NY 12518-1403
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600
70 Dubois St
FL 5
Newburgh, NY 12550-4851
Hospital & facility affiliations
- Montefiore St Luke'S Cornwall
- White Plains Hospital Center
- Montefiore Medical Center
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206748 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Hudson Vista Medical,PC | Current | Accepting new patients | |
| East Post Road Medical Services PC | Current | Accepting new patients | |
| Mid-Atlantic Pathology Services, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
535 E Crescent Ave
Ramsey, NJ 07446
Phone (201) 447-2020
19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
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.
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
-
- Internal Medicine Physician
- Cornwall, NY
- NPI 1659666840
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anatomic Pathology & Clinical Pathology Physician
- Ramsey, NJ
- NPI 1346256211
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1790729960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 E CRESCENT AVE",
"address_2": "C/O HISTOPATHOLOGY SERVICES, LLC",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462922",
"telephone_number": "201-661-7280",
"fax_number": "201-661-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"address_2": "GOOD SAMARITAN HOSPITAL",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-368-5179",
"fax_number": "201-661-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "206748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220033369",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0038512",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.