Organization Active NPI

Warren a Rubin DPM PA

  • Podiatrist
  • Camden, NJ
National Provider Identifier
1013140243
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00096400 Issued in NJ
Legal business name
WARREN A RUBIN DPM PA
Practice address
1807 S Broadway Front 1St FL.
Camden, NJ 08104-1333
Phone
(856) 757-9022
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. Warren A Rubin, DPM
Title
Pres
Phone
(856) 757-9022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00096400 NJ Primary

Addresses

Primary practice location

1807 S Broadway Front 1St FL.
Camden, NJ 08104-1333

Mailing address

1807 S Broadway Front 1St FL.
Camden, NJ 08104-1333
Phone (856) 757-9022

Other identifiers 1

IdentifierTypeStateIssuer
1864203MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1807 S Broadway
Frnt 1ST
Camden, NJ 08104
Phone (856) 757-9022

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1013140243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S BROADWAY FRONT 1ST FL.",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041333",
            "telephone_number": "856-757-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S BROADWAY FRONT 1ST FL.",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041333",
            "telephone_number": "856-757-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN A RUBIN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "856-757-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00096400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1864203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.