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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUBAB MIAN D.O.
NPI 1699478511
Pediatrics in Patchogue, NY

Active since March 22, 2023PECOS Enrolled
450 WAVERLY AVE, PATCHOGUE, NY 11772(631) 444-6300(631) 444-6327 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Rubab Mian D.o. NPPES

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

RUBAB MIAN D.O. (NPI 1699478511) is an individual pediatrics provider in Patchogue, New York, licensed in New York (342824-01) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699478511
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRUBAB MIANCredential: D.O.
Location Address450 WAVERLY AVEPatchogue, NY 11772-1555
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-6300
Fax(631) 444-6327
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1699478511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 342824-01
Definition
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.
450 WAVERLY AVE, Patchogue, NY 11772
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rubab Mian D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. ANTHONY PESCE M.D.
Family Medicine
450 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 444-6300
PATCHOGUE DENTAL SERVICES PC
Dentist
450 WAVERLY AVE, SUITE #06
PATCHOGUE, NY 11772
Suffolk County (631) 758-6689
ENVISION BEHAVIORAL AND MENTAL HEALTH LLC
Counselor (Mental Health)
450 WAVERLY AVE, BLDG. 3, SUITE 11
PATCHOGUE, NY 11772
Suffolk County (631) 307-9892
MR. IQBAL SAYED DDS
Dentist
450 WAVERLY AVE, SUITE #06
PATCHOGUE, NY 11772
Suffolk County (631) 758-6689
REBECCA PERRY
Massage Therapist
450 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 219-8443
DR. DENISE WOODALL-RUFF MD
Pediatrics
450 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 444-6300
DR. NICHOLAS MICELI D.C.
Chiropractor
450 WAVERLY AVE, SUITE 9
PATCHOGUE, NY 11772
Suffolk County (631) 289-1151
IKEMESIT UDO-BELLNER
Pediatrics
450 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 444-5437

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 Rubab Mian's NPI number?

The NPI number for Rubab Mian is 1699478511. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Rubab Mian located?

Rubab Mian practices at 450 Waverly Ave, Patchogue, NY 11772. The listed phone number is (631) 444-6300.

What is Rubab Mian's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rubab Mian enrolled in Medicare?

Yes. Rubab Mian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rubab Mian was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.