Provider Demographics
NPI:1063487742
Name:RUBIN, JOYCE D (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:D
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 EXPRESSWAY DR N
Mailing Address - Street 2:SUITE 116
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5301
Mailing Address - Country:US
Mailing Address - Phone:631-292-6747
Mailing Address - Fax:631-292-6767
Practice Address - Street 1:3001 EXPRESSWAY DR N
Practice Address - Street 2:SUITE 116
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5301
Practice Address - Country:US
Practice Address - Phone:631-292-6747
Practice Address - Fax:631-292-6767
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237546-1174400000X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY237546OtherHIP
NY0778181OtherCIGNA
NYP00468552OtherRAIL ROAD MEDICARE
NY02711315Medicaid
NYP3702216OtherOXFORD
NY0104478OtherGHI
NY2577494OtherUNITED HEALTHCARE
NY4256082OtherAETNA
NY817C71OtherBLUE CROSS BLUE SHIELD
NY5C5859OtherHEALTHNET/PHS
NYI52275Medicare UPIN
NY02711315Medicaid