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New York University

NPI 1053836908ActiveOrganization· Podiatrist· Boynton Beach, FL

Podiatrist in Boynton Beach, Florida, registered in NPPES in August 2017. The authorized official on file is Andrew T. Rubin, Vp, Clinical Affairs And Amb. Care. Enrolled in Medicare as dme supplier - physician - general practice.

Overview

NPI1053836908
StatusActive
Entity typeOrganization
NPI issuedAug 11, 2017
Last updated in NPPESSep 27, 2024
Certified by providerSep 27, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - General Practice (NY)

Medicare sources and data years

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