Active NPI
Bonnie R Rubin, AUD
- Audiologist
- Rye Brook, NY
National Provider Identifier
1841207487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 7661
- 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, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3C9839 | Other | HEATHNET | |
| WS1243 | Other | OXFORD | |
| 3955827 | Other | AETNA | |
| 801230M053100 | Other | GENERAL MOTORS | |
| 2547029 | Other | UNITED HEALTHCARE | |
| 142348P | Other | HIP | |
| 390058 | Other | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000766-1 | NY | MD | Marriage & Family Therapist |
| 7661 | NY | MD | Audiologist |
| 000766 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonnie Rubin Audiology of Rye Ridge, PLLC | Audiologist | Current | 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.
-
- Audiologist
- Rye Brook, NY
- NPI 1346348208
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
- Michelle Rosen
- Jonathan M Rosenstreich, M.D
- David Peter Rosenzweig, DPM
- Stanley Jess Rothman, MD
- Jessica Silfen Roy, M.S. CCC-SLP, TSSLD
- Rye Brook Cardiology & Vascular Medicine, P.C.
- Rye Brook Cardiology & Vascular Medicine, P.C.
- Rye Periodontics & Implant Dentistry PC
- Rye Radiology Associates,LLP
- Rye Radiology, PLLC
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.