JRR Medical PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

JRR MEDICAL PC

Practice address

2569 Ocean Ave Ste 3
Brooklyn, NY 11229-4576

Phone

(718) 210-2960

Fax

(718) 744-9374

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Jason Rubinov, MDNPI 1154697472

Title

Owner

Phone

(718) 210-2960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Rubinov, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1154697472
  Medicare reassignment Care Compare group NPD Authorized official
• Gabriel S Levi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Berkeley Heights, NJ
  • NPI 1205834140

  NY

  Medicare reassignment Care Compare group NPD
• Yuriy Pertsovsky

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1326085168
  NPD (past)

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1891345666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493933",
            "telephone_number": "718-210-2960",
            "fax_number": "718-744-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294576",
            "telephone_number": "718-210-2960",
            "fax_number": "718-744-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "RUBINOV",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "280210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.