DR. JERRY A RUBANO


Address: Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794-7148
Phone: 6314442754

DR. JERRY A RUBANO (NPI# 1700046034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700046034
Entity Type Individual
Full Name DR. JERRY A RUBANO
Credential MD
Practice Address Stony Brook University Hospital
Medical Staff Office T14
Stony Brook
NY 11794-7148
Mailing Address Po Box 1554
101 Nicolls Road
Stony Brook
NY 11794-7148
Practice Telephone 6314442754
Practice Fax Number 6314446031
Mailing Telephone 6314444545
Mailing Fax Number 6314446031
Enumeration Date 2008-06-10
Last Update Date 2015-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 261957 NY Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
261957 NY Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
261957 NY Allopathic & Osteopathic Physicians

Office Location

Street Address STONY BROOK UNIVERSITY HOSPITAL
MEDICAL STAFF OFFICE T14
City STONY BROOK
State NY
Zip Code 11794-7148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144273228 David Talbot Lawrence Emergency Medicine Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 2006-05-18
1518592120 Marina Aknouk Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-03-04
1821629247 Daniel Robert Fitzgerald Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-02-04
1578121463 Mary Elizabeth Paciella Registered Nurse Stony Brook University Hospital, 101 Nichols Road Sbuh 8s Room 142, Stony Brook, NY 11794-7080 2019-06-05
1720547227 Gabrielle Bekov Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Hospital Dentistry- 151 Westchester Hall, Stony Brook, NY 11794-8711 2019-03-14
1407350614 Ewa Zabrocka Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Level 2, Stony Brook, NY 11794 2018-03-21
1366975443 Vivian Asakoma Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 11794-8111 2017-04-06
1518490945 Hannah Marie Thompson Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1427581859 Khai Hoai Anh Gustav Diep Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1942732441 Yueting Yang Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Hsc T-11 / 040, Stony Brook, NY 11794-8111 2017-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
Find all providers in zip 11794

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760740492 Benjamin James Flink Surgery Health Sciences Center T-19, Stony Brook, NY 11794-1059 2012-05-01
1114285988 Viola Huang Surgery Health Science Tower Level 19, Room 020, Stony Brook, NY 11794-1000 2012-04-30
1558691154 Salvatore Docimo Jr. Surgery Hst T19, Room 053, Stony Brook, NY 11790-8191 2010-01-04
1427200930 David Alberto Vivas Surgery Hsc T19-020 Stony Brook Medicine, Stony Brook, NY 11794-8191 2008-10-15
1548410657 George C Angelos Surgery Hst Level 18 Rm 046b, Stony Brook, NY 11794-8191 2008-09-25
1952508038 Georgios V Georgakis Surgery Lauterbur Drive Hospital Pavilion Level 5w, Stony Brook, NY 11794-3955 2007-07-02
1609913979 Kinga A Powers Surgery Sbumc, Hsc Level 19, Rm.053, Stony Brook, NY 11790-0989 2007-01-30
1336223221 Aurora Dawn Pryor Surgery Hsc 18 040, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 2006-10-25
1790706513 Marc J Shapiro Surgery 100 Nicolls Road, L5 University Hospital, Stony Brook, NY 11794 2006-07-21
1588694673 Mark A Talamini Surgery Hst 19 020, Stony Brook, NY 11794-8191 2006-07-04
Find all providers in STONY BROOK

Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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