Dr. Kenneth Alvin Rubin , MD
Specialist • Bethpage, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Rubin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Rubin, MD was a registered Specialist practicing in Bethpage, NY. Throughout an active medical career spanning 17 years, Dr. Rubin provided care at the practice location at 4295 HEMPSTEAD TPKE until profile deactivation on 2023-06-07.
Practice Location & Contact Primary Location
4295 Hempstead Tpke
Bethpage, NY 117145713
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Bethpage, NY
Practicing in Bethpage, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Physician Assistant - Medical
Physician Assistant
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 07, 2023
NPI status registered as active in NPPES database
Registered at 4295 HEMPSTEAD TPKE, BETHPAGE, NY 117145713 (Tel: 5165796000)
Registered at 527 AVALON COURT DR, MELVILLE, NY 117474297
Recorded as KENNETH RUBIN, M.D.
Specialist (License #120778 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
527 Avalon Court Dr
Melville, NY 117474297
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