Individual Healthcare Provider
Peter James Rubertone
Provider's NPPES record last updated: July 8, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1447096847
- Primary Specialty
- Radiologic Technologist — Cardiac-Interventional Technology
- Practice Location
- Port Ewen, New York
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiologic Technologist
Cardiac-Interventional Technology
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in cardiac interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in cardiac interventional technology imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471C1106X Radiologic Technologist
Computed Tomography
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471C3401XRadiologic Technologist
Radiography
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471C3402XRadiologic Technologist
Magnetic Resonance Imaging
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471M1202X
Provider-Reported License Information
- Radiologic Technologist (New York)
- 595962
Practice Locations
Practice Location
45 Riverview
Port Ewen, New York 12466-5104
Phone: (845) 505-4141
Record Information
- Enumeration Date
- July 4, 2024
- Provider's NPPES Record Last Updated
- July 8, 2024
- Certification Date
- July 8, 2024
- NPISignal NPPES Dataset
- August 2026
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