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Dr. Rubab Mian , DO

Pediatrics β€’ Patchogue, NY

Active NPI 1699478511 Individual Practitioner Female Practitioner
Practice location in NPPES

450 Waverly Ave
Patchogue, NY 117721555

Call 6314446300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

450 Waverly Ave

Patchogue, NY 117721555

Telephone 6314446300
Fax 6314446327
Organization at the Same NPPES Address or Phone
Patchogue Dental Services Pc Facility NPI 1053580803

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mian has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mian as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Patchogue and New York

9 active clinicians are listed under Pediatrics with a practice address in Patchogue, NY (5,805 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 342824-01

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260615000879

Enrollment State Jurisdiction

NY

PECOS Control ID

1850863598

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Robert Bobrow , MD

Family Medicine

NPI 1548204613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 07, 2026

Registered at 450 WAVERLY AVE, PATCHOGUE, NY 117721555 (Tel: 6314446300)

πŸ“
Updated Business Mailing Address July 07, 2026

Registered at PO BOX 1559, STONY BROOK, NY 117900989 (Tel: 6314440650)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

Pediatrics (license number reported to NPPES: NY 342824-01)

βœ…
NPI Profile Active March 22, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2023

Registered at 101 NICOLLS ROAD HSC LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

πŸ“
Business Mailing Address (Initial Record) March 22, 2023

Registered at 101 NICOLLS ROAD HSC LEVEL 11 RM 040, STONY BROOK, NY 11794 (Tel: 6314442020)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2023

Recorded as RUBAB MIAN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699478511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2023
Last Update: July 07, 2026
Sole Proprietor: No

Mailing Address

Po Box 1559

Stony Brook, NY 117900989

Phone: 6314440650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.