Active NPI
Stephen Rubenstein, M.D.
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1831267509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 113928
- Practice address
- 885 Park Ave
Suite 1a
New York, NY 10075-0383 - Phone
- (212) 737-6993
- Fax
- (212) 784-7295
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 113928 | NY | Primary |
Addresses
Primary practice location
885 Park Ave
Suite 1a
New York, NY 10075-0383
Mailing address
715 Park Ave
Apt 17E
New York, NY 10021-5047
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-3515505 | Other | NY | GREAT-WEST |
| 13-3515505 | Other | NY | CHOICECARE PPO (HUMANA) |
| 0000525-02 | Other | NY | AMERICHOICE |
| 3182775 & 4339758 | Other | NY | AETNA HMO & PPO |
| 6528975 | Other | NY | CIGNA |
| 569P21 | Other | NY | EMPIRE BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1971
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
885 Park Ave
New York, NY 10075-0325
Phone (212) 737-6993
Hospital & facility affiliations
- Lenox Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113928 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mihail Medvedovsky Physician PC | Current | Accepting new patients |
Locations
3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- stephen.rubenstein.1@21268.direct.athenahealth.com
- srubenstein64583@northwell.direct-ci.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1942304001
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1831267509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 PARK AVE",
"address_2": "APT 17E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 PARK AVE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750383",
"telephone_number": "212-737-6993",
"fax_number": "212-784-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENSTEIN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "113928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST",
"identifier": "13-3515505",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICECARE PPO (HUMANA)",
"identifier": "13-3515505",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0000525-02",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO & PPO",
"identifier": "3182775 & 4339758",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6528975",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "569P21",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.