Active NPI
New York University
Doing business as NYU Langone Brooklyn Medical Associates - Kent Street
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Boynton Beach, FL
National Provider Identifier
1861913394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NEW YORK UNIVERSITY
- Doing business as
- NYU Langone Brooklyn Medical Associates - Kent Street
- Practice address
- 3301 Quantum Blvd
Boynton Beach, FL 33426-8668 - Phone
- (877) 648-2964
- NPI assigned
- Jul 6, 2017
- Last updated
- Sep 27, 2024
- 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
- VP, Clinical Affairs and Ambulatory
- Phone
- (212) 263-2672
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
3301 Quantum Blvd
Boynton Beach, FL 33426-8668
Mailing address
74 Kent St
Brooklyn, NY 11222-1517
Phone (929) 455-3190
Other practice location 1
74 Kent St
Brooklyn, NY 11222-1517
Phone (929) 455-3190
Other names 1
- NYU Langone Brooklyn Medical Associates - Kent Street
National Provider Directory
National Provider DirectoryLocations
3301 Quantum Blvd
Boynton Beach, FL 33426
Phone (877) 648-2964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1861913394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 KENT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112221517",
"telephone_number": "929-455-3190"
},
{
"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": "74 Kent St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112221517",
"country_code": "US",
"telephone_number": "929-455-3190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW YORK UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-06",
"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": "VP, CLINICAL AFFAIRS AND AMBULATORY",
"authorized_official_telephone_number": "212-263-2672"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NYU Langone Brooklyn Medical Associates - Kent Street",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boynton Beach, FL
- New York University (NYU Langone Medical Associates-Riverhead)
- New York University (NYU Langone Medical Associates-West Brighton)
- New York University (NYU Langone Orthopedic Associates - Hauppauge)
- New York University (NYU Langone Children's Ambulatory Care Center - Mineola)
- New York University (NYU Langone Orthopaedic Associates - Long Island)
- New York University (Advanced Orthopedics)
- New York University (NYU Langone Orthopaedic Surgery Associates)
- New York University (Advanced Orthopaedic Specialists)
- New York University (NYU Langone Medical Associates - Patchogue)
- New York University (NYU Langone Laurelton Medical Center)
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.