Active NPI
Martin Rubel, M.D
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1952310377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-027417-L
- Practice address
- 135 S 19TH St
Suite 230
Philadelphia, PA 19103-4912 - Phone
- (215) 561-4440
- Fax
- (215) 563-7255
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-027417-L | PA | Primary |
Addresses
Primary practice location
135 S 19TH St
Suite 230
Philadelphia, PA 19103-4912
Mailing address
220 W Rittenhouse SQ
Apt. 23a
Philadelphia, PA 19103-5737
Phone (215) 731-9606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070514000485 | PA | Practitioner - Psychiatry | 4082711775 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-027417-L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952310377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W RITTENHOUSE SQ",
"address_2": "APT. 23A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035737",
"telephone_number": "215-731-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S 19TH ST",
"address_2": "SUITE 230",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034912",
"telephone_number": "215-561-4440",
"fax_number": "215-563-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEL",
"first_name": "MARTIN",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-027417-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.