Active NPI
David M Rubaltelli, M.D.
- Ophthalmology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 261272
- Practice address
- 356 President Street
Suite B
Brooklyn, NY 11215 - Phone
- (718) 438-5600
- NPI assigned
- May 1, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 261272 | NY | Primary |
Addresses
Primary practice location
356 President Street
Suite B
Brooklyn, NY 11215
Mailing address
356 President Street
Suite B
Brooklyn, NY 11215
Phone (718) 438-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264920301 | Other | NY | AMERICHOICE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
632 Flatbush Ave
Brooklyn, NY 11225-5606
Phone (718) 865-8159
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 97.04
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 58.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261272 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Ophthalmology and Medical Associates PLLC | Ophthalmology | Current | Accepting new patients |
| Harooni & Sheindlin MD PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Ophthalmology | Current | Accepting new patients |
| Eric S Dessner MD PC | Ophthalmology | Current | Accepting new patients |
| Essex Vitreoretinal Services, Inc. | Ophthalmology | Past | Accepting new patients |
| Mark Fromer, MD PC | Ophthalmology | Past | Accepting new patients |
| Kingsbrook Medical Associates PC | Past | Accepting new patients | |
| Massachusetts Eye and Ear Associates, Inc. | Ophthalmology | Past | Accepting new patients |
| Lahey Clinic, Inc. | Past | Accepting new patients | |
| South Suburban Ear, Nose & Throat Assoc Inc | Past | Accepting new patients | |
| Medalliance Medical Health Services Inc | Past | Accepting new patients | |
| Edward a Ryan, MD, PC | Ophthalmology | Past | Accepting new patients |
| Kingsbrook Medical Associates, PC | Past | Accepting new patients | |
| Retina Associates Inc | Ophthalmology | Past | Accepting new patients |
Locations
1200 Waters Pl
Ste 304
Bronx, NY 10461
Phone (718) 518-0060
111 E 210th St
Bronx, NY 10467
81 Willoughby St
Fl 4
Brooklyn, NY 11201
Phone (718) 522-3399
398 Bridge St
Brooklyn, NY 11201
Phone (718) 865-8159
586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600
632 Flatbush Ave
Brooklyn, NY 11225
Phone (718) 865-8159
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 15
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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1356842520
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1720351703
-
- Specialist
- Brooklyn, NY
- NPI 1861597510
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1194851774
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
-
- Ophthalmology Physician
- Winchester, MA
- NPI 1740289115
-
- Ophthalmology Physician
- Beverly, MA
- NPI 1205866910
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1962460931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 PRESIDENT STREET",
"address_2": "SUITE B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-438-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 PRESIDENT STREET",
"address_2": "SUITE B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-438-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBALTELLI",
"first_name": "DAVID",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "261272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100264920301",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.