Individual provider Active NPI

Rubina Iftequar Sharief, M.D.

  • Child & Adolescent Psychiatry Physician
  • Hoboken, NJ
National Provider Identifier
1013110808
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
263889-1 Issued in NY
Practice address
79 Hudson St
Hoboken, NJ 07030-5638
Phone
(312) 420-1828
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09462300 NJ
Psychiatry Physician 2084P0800X C155800 CA
Child & Adolescent Psychiatry Physician 2084P0804X 263889-1 NY Primary

Addresses

Primary practice location

79 Hudson St
Hoboken, NJ 07030-5638

Mailing address

42 Blackburn PL
Summit, NJ 07901-2324
Phone (312) 420-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822001825 NJ Practitioner - Psychiatry 5294953899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C155800CAMDPsychiatry Physician
25MA09462300NJMDPsychiatry Physician
263889-1NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Oaks Hospital Inc CurrentSince Feb 10, 2025 Accepting new patients
Jewish Board for Family and Children Services PastSince Nov 24, 2015 Accepting new patients

Locations

19 Prospect St
Summit, NJ 07901
Phone (908) 522-7000

Interoperability endpoints

  • Direct secure messaging: rsharief552024@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1013110808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BLACKBURN PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012324",
            "telephone_number": "312-420-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "312-420-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIEF",
        "first_name": "RUBINA",
        "middle_name": "IFTEQUAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09462300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C155800",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "263889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.