Individual provider Active NPI

David M Rubaltelli, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1962460931
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
261272 Issued in NY
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

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100264920301OtherNYAMERICHOICE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001727 NY Practitioner - Ophthalmology 1153324660 Reassigns benefits to 3 organizations

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
Ny Ophthalmology and Medical Associates PLLCGroup PAC ID 8729438783, 2 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
261272NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Ophthalmology and Medical Associates PLLC Ophthalmology CurrentSince May 1, 2024 Accepting new patients
Harooni & Sheindlin MD PC CurrentSince Aug 31, 2011 Accepting new patients
Montefiore Medical Center CurrentSince Dec 29, 2011 Accepting new patients
Montefiore Medical Center Ophthalmology CurrentSince Dec 29, 2011 Accepting new patients
Eric S Dessner MD PC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Essex Vitreoretinal Services, Inc. Ophthalmology Past Accepting new patients
Mark Fromer, MD PC Ophthalmology PastSince Jul 1, 2012 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 PastSince Aug 31, 2011 Accepting new patients
Edward a Ryan, MD, PC Ophthalmology PastSince Aug 22, 2012 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.

View all 15

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

Verify at the official NPI Registry.