Active NPI
New York University
- Orthopaedic Surgery Physician
- Boynton Beach, FL
National Provider Identifier
1831838440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NEW YORK UNIVERSITY
- Practice address
- 3301 Quantum Blvd
Boynton Beach, FL 33426-8668 - Phone
- (877) 648-2964
- NPI assigned
- Jun 1, 2022
- 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
- Andrew T. Rubin
- Title
- Sr. VP Clinical Affairs, Amb Care
- Phone
- (212) 263-2672
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
3301 Quantum Blvd
Boynton Beach, FL 33426-8668
Mailing address
120 Mineola Blvd Ste 210
Mineola, NY 11501-4077
Phone (516) 663-4600
Other practice location 1
120 Mineola Blvd Ste 210
Mineola, NY 11501-4077
Phone (516) 663-4600
Other names 1
- NYU Langone Children's Ambulatory Care Center - Mineola
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1831838440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD STE 210",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014077",
"telephone_number": "516-663-4600",
"fax_number": "516-663-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 QUANTUM BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268668",
"telephone_number": "877-648-2964"
}
],
"practiceLocations": [
{
"address_1": "120 Mineola Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115014077",
"country_code": "US",
"telephone_number": "516-663-4600",
"fax_number": "516-663-3008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW YORK UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "SR. VP CLINICAL AFFAIRS, AMB CARE",
"authorized_official_telephone_number": "212-263-2672"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NYU Langone Children's Ambulatory Care Center - Mineola",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NYU Langone Children's Ambulatory Care Center - Mineola",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.