Individual provider Active NPI

Bonnie R Rubin, AUD

  • Audiologist
  • Rye Brook, NY
National Provider Identifier
1841207487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7661 Issued in NY
Practice address
118 S Ridge St
Suite 4
Rye Brook, NY 10573
Phone
(914) 935-3292
Fax
(914) 935-3294
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7661 NY Primary

Addresses

Primary practice location

118 S Ridge St
Suite 4
Rye Brook, NY 10573

Mailing address

118 S Ridge St
Suite 4
Rye Brook, NY 10573
Phone (914) 935-3292

Other identifiers 7

IdentifierTypeStateIssuer
3C9839OtherHEATHNET
WS1243OtherOXFORD
3955827OtherAETNA
801230M053100OtherGENERAL MOTORS
2547029OtherUNITED HEALTHCARE
142348POtherHIP
390058OtherCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000194 NY Practitioner - Qualified Audiologist 6002811957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonnie Rubin Audiology of Rye Ridge, PLLCGroup PAC ID 8527063478, 2 clinicians

Practice addresses (Care Compare)

118 S Ridge St
Suite 4
Rye Brook, NY 10573-2848
Phone (914) 935-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000766-1NYMDMarriage & Family Therapist
7661NYMDAudiologist
000766NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnie Rubin Audiology of Rye Ridge, PLLC Audiologist CurrentSince Jan 1, 2006 Accepting new patients

Locations

118 S Ridge St
Ste 4
Rye Brook, NY 10573
Phone (323) 651-5107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841207487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST",
            "address_2": "SUITE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-935-3292",
            "fax_number": "914-935-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST",
            "address_2": "SUITE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-935-3292",
            "fax_number": "914-935-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BONNIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "7661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHNET",
            "identifier": "3C9839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS1243",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3955827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL MOTORS",
            "identifier": "801230M053100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2547029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "142348P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "390058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.