Individual provider Active NPI

David Rubin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Suffern, NY
National Provider Identifier
1790729960
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
206748 Issued in NY
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

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
220033369OtherNYRAILROAD MEDICARE
0038512MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041019000458 NJ Practitioner - Pathology 7618937186 Reassigns benefits to 1 organization
I20070628000046 NY Practitioner - Pathology 7618937186 Reassigns benefits to 3 organizations

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
Hudson Vista Medical PCGroup PAC ID 8628240215, 45 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

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 Hospital, Newburgh, NY, CCN 330264
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206748NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 16, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 16, 2020 Accepting new patients
Hudson Vista Medical,PC CurrentSince Nov 9, 2022 Accepting new patients
East Post Road Medical Services PC CurrentSince Aug 8, 2022 Accepting new patients
Mid-Atlantic Pathology Services, PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 21, 2020 Accepting new patients
Summit Medical Group, Inc PastSince Feb 1, 2010 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.