DR. CORY JOSHUA RUBIN M.D. NPI 1780888974

NPI Information

  • NPI: 1780888974
  • Provider Name: DR. CORY JOSHUA RUBIN, M.D.
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 23D2171170
  • Address: 2665 ELIZABETH LAKE RD
    WATERFORD, MI
    ZIP 48328
  • Phone: (248) 681-9541

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NPI Details

DR. Cory Joshua Rubin, M.D. is a clinical and laboratory dermatological immunology dermatology in Waterford, MI with 20 years of experience. The provider is 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. DR. Cory Joshua Rubin, M.D. NPI is 1780888974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2665 ELIZABETH LAKE RD
WATERFORD, MI
ZIP 48328-277
Phone: (248) 681-9541
Fax: (248) 681-9581

The NPI 1780888974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D2171170 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/12/2007 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology4301090984MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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