Active NPI
Christopher Hart Rubino, RT (R), PA-C
- Surgical Physician Assistant
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 022771-1
- Practice address
- 200 Belle Terre Rd # 474-6000
Port Jefferson, NY 11777-1968 - Phone
- (631) 474-6000
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 022771-1 | NY | Primary |
Addresses
Primary practice location
200 Belle Terre Rd # 474-6000
Port Jefferson, NY 11777-1968
Mailing address
40 Scudder Ave # 2E
Northport, NY 11768-2915
Phone (631) 987-0175
Other practice location 1
50 New York Ave
Smithtown, NY 11787-3448
Phone (631) 862-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
- St Catherine of Siena Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022771-1 | NY | MD | Surgical Physician Assistant |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1871069484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SCUDDER AVE # 2E",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682915",
"telephone_number": "631-987-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELLE TERRE RD # 474-6000",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771968",
"telephone_number": "631-474-6000"
}
],
"practiceLocations": [
{
"address_1": "50 New York Ave",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117873448",
"country_code": "US",
"telephone_number": "631-862-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINO",
"first_name": "CHRISTOPHER",
"middle_name": "HART",
"credential": "RT (R), PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "022771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.