Active NPI
Jeffrey M. Rubin, O.D., P.C.
- Optometrist
- Nanuet, NY
National Provider Identifier
1831218460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003916
- Legal business name
- JEFFREY M. RUBIN, O.D., P.C.
- Practice address
- 55 Old Turnpike Rd
Suite 201
Nanuet, NY 10954-2461 - Phone
- (845) 623-3500
- Fax
- (845) 623-2223
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Martin Rubin, O.D.
- Title
- President
- Phone
- (845) 623-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 003916 | NY | Primary |
| Optometrist | 152W00000X | 004168 | NY | |
| Corneal and Contact Management Optometrist | 152WC0802X | 003916 | NY | |
| Vision Therapy Optometrist | 152WV0400X | 004168 | NY |
Addresses
Primary practice location
55 Old Turnpike Rd
Suite 201
Nanuet, NY 10954-2461
Mailing address
55 Old Turnpike Rd
Suite 201
Nanuet, NY 10954-2461
Phone (845) 623-3500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092013 | Other | NY | GHI |
| 397349 | Other | NY | EMPIRE |
| P1068808 | Other | NY | OXFORD |
| 5118769 | Other | CIGNA | |
| C31061 | Other | NY | BLUE CROSS |
| 90580 | Other | UNITED HEALTHCARE | |
| 90580 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Jeffrey M Rubin, OD, PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Nanuet, NY
- NPI 1396749651
-
- Optometrist
- Nanuet, NY
- NPI 1720072937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1831218460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 OLD TURNPIKE RD",
"address_2": "SUITE 201",
"city": "NANUET",
"state": "NY",
"postal_code": "109542461",
"telephone_number": "845-623-3500",
"fax_number": "845-623-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 OLD TURNPIKE RD",
"address_2": "SUITE 201",
"city": "NANUET",
"state": "NY",
"postal_code": "109542461",
"telephone_number": "845-623-3500",
"fax_number": "845-623-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M. RUBIN, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-623-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "003916",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "004168",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "003916",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "004168",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0092013",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "397349",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1068808",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5118769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C31061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "90580",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "90580",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.