Active NPI
Philip Rubin, M.D.
- Dermatology Physician
- New Rochelle, NY
National Provider Identifier
1801281431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 187564
- Practice address
- 4 Kewanee Rd
New Rochelle, NY 10804-1324 - Phone
- (914) 235-4388
- Fax
- (914) 632-0032
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 187564 | NY | Primary |
Addresses
Primary practice location
4 Kewanee Rd
New Rochelle, NY 10804-1324
Mailing address
4 Kewanee Rd
New Rochelle, NY 10804-1324
Phone (914) 235-4388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187564 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1801281431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KEWANEE RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108041324",
"telephone_number": "914-235-4388",
"fax_number": "914-632-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 KEWANEE RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108041324",
"telephone_number": "914-235-4388",
"fax_number": "914-632-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "187564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.