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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. GRANT RUBACK MEDICAL STUDENT
NPI 1891612255
Student in an Organized Health Care Education/Training Program in New York, NY

Active since July 06, 2026
180 RIVERSIDE DR APT 4A, NEW YORK, NY 10024(267) 895-5806 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Grant Ruback Medical Student NPPES

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

MR. GRANT RUBACK MEDICAL STUDENT (NPI 1891612255) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1891612255
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. GRANT RUBACKCredential: MEDICAL STUDENT
Location Address180 RIVERSIDE DR APT 4ANew York, NY 10024-1047
Mailing Address180 Riverside Dr Apt 4aNew York, NY 10024-1047 · (267) 895-5806
Phone(267) 895-5806
Sole ProprietorNo
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1891612255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
180 RIVERSIDE DR APT 4A, New York, NY 10024
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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 Grant Ruback's NPI number?

The NPI number for Grant Ruback is 1891612255. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Grant Ruback located?

Grant Ruback practices at 180 Riverside Dr Apt 4A, New York, NY 10024. The listed phone number is (267) 895-5806.

What is Grant Ruback's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Grant Ruback was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.