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MICHIGAN DERMATOLOGY INSTITUTE
NPI 1518513902
Dermatology - Clinical & Laboratory Dermatological Immunology in Waterford, MI

Active since August 13, 2019CLIA Certified · 2 labs
2665 ELIZABETH LAKE RD, WATERFORD, MI 48328(248) 685-9541(248) 681-9581 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jul 22, 2024, May 8, 2024 and 3 more (6 updates tracked since 2019).

About Michigan Dermatology Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN DERMATOLOGY INSTITUTE (NPI 1518513902) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Waterford, Michigan and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Livonia, and lists Cory Joshua Rubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1518513902
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameCORY J RUBIN MD PC
Location Address2665 ELIZABETH LAKE RDWaterford, MI 48328-3277
Mailing Address2665 Elizabeth Lake RdWaterford, MI 48328-3277 · (248) 681-9541 · Fax (248) 681-9581
Phone(248) 685-9541
Fax(248) 681-9581
Organization SubpartNo
Authorized OfficialCory Joshua RubinOwner · (248) 681-9541
Enumeration DateAugust 13, 2019
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1518513902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
2665 ELIZABETH LAKE RD, Waterford, MI 48328
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Other Names 1

Doing Business AsMichigan Dermatology Institute

Secondary Practice Location 1

Location 139201 7 Mile Rd Ste 140Livonia, MI 48152-1079 · Phone (248) 681-9541

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2171170

Cory J Rubin MD PC · Waterford, MI
Active · expires Aug 26, 2027
CLIA Number23D2171170
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorCory J. Rubin
Laboratory Phone(248) 681-9541
Laboratory LocationCory J Rubin MD PC2665 Elizabeth Lake Road, Waterford, MI 48328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2309622

Michigan Dermatology Institute · Livonia, MI
Active · expires Aug 18, 2026
CLIA Number23D2309622
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorCory J. Rubin
Laboratory Phone(248) 681-9541
Laboratory LocationMichigan Dermatology Institute39201 W 7 Mile Road Suite 140, Livonia, MI 48152
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE CHRISTINE PFEIFLE PA-C
Physician Assistant
2665 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (248) 681-9541
MAX PATRICK LIVINGSTON PA-C
Physician Assistant
2665 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (248) 681-9541
BRIGITTE NICOLE ACOSTA PA-C
Physician Assistant
2665 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (248) 681-9541
DR. CORY JOSHUA RUBIN M.D.
Dermatology (Clinical & Laboratory Dermatological Immunology)
2665 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (248) 681-9541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory J Rubin MD PC's NPI number?

The NPI number for Cory J Rubin MD PC is 1518513902. It was assigned to this organization in the NPPES registry on August 13, 2019. The provider is doing business as Michigan Dermatology Institute.

Where is Cory J Rubin MD PC located?

Cory J Rubin MD PC is located at 2665 Elizabeth Lake Rd, Waterford, MI 48328. The listed phone number is (248) 685-9541.

What is Cory J Rubin MD PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Does Cory J Rubin MD PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cory J Rubin MD PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cory J Rubin MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cory J Rubin MD PC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.