Mara Rubenstein, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301081875 Issued in MI

Practice address

3571 W 13 Mile Rd FL 2
Royal Oak, MI 48073-6710

Phone

(248) 551-0360

Fax

(248) 551-8865

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mrubenstein1458299@epic00.shdirect.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IFFHAD
• Direct secure messaging: mara.rubenstein@serenitypeds.eclinicaldirectplus.com

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.

• Oakland Physical Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Allen Park, MI
  • NPI 1447446562
  NPD (past)
• Serenity Doctors PC

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1811658578
  NPD (past)
• Serenity Pediatrics

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1669922977
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1962412874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 W 13 MILE RD FL 2",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-0360",
            "fax_number": "248-551-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 Telegraph Rd",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254367",
            "country_code": "US",
            "telephone_number": "248-540-8700",
            "fax_number": "248-540-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301081875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrubenstein13896@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3571 W 13 Mile Rd Fl 2",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Royal Smiles PLLC
• Royal Urgent Care, PLLC
• Royale Pharmacy Inc.
• Michael Stephen Rozwadowski, MD
• RPPC Labs, LLC
• Ronald Allen Rubenstein, M.D.
• Jacob Ruble, DDS
• Alan Joel Ruby, MD
• Kristen Ruczynski, CRNA
• Kathleen Theresa Rudd, RN, NP

• Pediatrics Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.