Individual provider Active NPI

Robin Michelle Rubell, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1821151747
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
231240 Issued in NY
Practice address
345 E 37TH St
Suite #307
New York, NY 10016-3256
Phone
(212) 532-5355
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 231240 NY Primary

Addresses

Primary practice location

345 E 37TH St
Suite #307
New York, NY 10016-3256

Mailing address

203 E 72ND St Apt 8B
New York, NY 10021-4562
Phone (917) 209-0108

Other practice location 1

69 E 76th St
New York, NY 10021-1826
Phone (212) 988-4357

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000048 NY Practitioner - Dermatology 2365541703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 E 72ND St
New York, NY 10021-4557
Phone 21264444404255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions374
Removal or shaving of skin growth34
Skin biopsy177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231240NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orbuch, Brand Dermatology Associates LLP Dermatology CurrentSince Sep 1, 2021 Accepting new patients
21St Century Dermatology, P.L.L.C. Dermatology CurrentSince Oct 27, 2009 Accepting new patients
Saitta Dermatology PC Dermatology PastSince Apr 1, 2020 Accepting new patients

Locations

4277 Hempstead Tpke
Ste 206
Bethpage, NY 11714
Phone (516) 731-6505

133 E 58th St
Ste 502
New York, NY 10022
Phone (212) 355-1005

Interoperability endpoints

  • Direct secure messaging: rrubell1605339@nychhc.direct-ci.com
  • Direct secure messaging: rrubell43440@nyumc.direct-ci.com

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1821151747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 72ND ST APT 8B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214562",
            "telephone_number": "917-209-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST",
            "address_2": "SUITE #307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "212-532-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 E 76th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100211826",
            "country_code": "US",
            "telephone_number": "212-988-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBELL",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "231240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.