Organization Active NPI

Gastro Florida Professional Association

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1851041370
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO FLORIDA PROFESSIONAL ASSOCIATION
Practice address
21097 NE 27TH CT Ste 330
Miami, FL 33180-1206
Phone
(718) 210-2960
Fax
(941) 200-4181
NPI assigned
Mar 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2022

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

Authorized official

Name
Jason Rubinov, MD
Title
President
Phone
(718) 210-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 330
Miami, FL 33180-1206

Mailing address

111 Kent Ave Apt 4M
Brooklyn, NY 11249-2916
Phone (718) 210-2960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1851041370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KENT AVE APT 4M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112492916",
            "telephone_number": "718-210-2960",
            "fax_number": "941-200-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 330",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801206",
            "telephone_number": "718-210-2960",
            "fax_number": "941-200-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO FLORIDA PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "RUBINOV",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-210-2960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.