Individual provider Active NPI

Marc Scott Rubenstein, DPT

  • Physical Therapist
  • Kendall Park, NJ
National Provider Identifier
1184673907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00850500 Issued in NJ
Practice address
3228 State Route 27
Kendall Park, NJ 08824-1445
Phone
(732) 297-0032
Fax
(732) 297-0558
NPI assigned
May 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00850500 NJ Primary

Addresses

Primary practice location

3228 State Route 27
Kendall Park, NJ 08824-1445

Mailing address

14 Heather CT
Plainsboro, NJ 08536-1949
Phone (732) 297-0032

Other identifiers 1

IdentifierTypeStateIssuer
7200022OtherNJAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000632 NJ Practitioner - Physical Therapist in Private Practice 2668452426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

175 Route 70
Suite 19
Medford, NJ 08055-2355
Phone (609) 714-3378

3 Liberty St
Suite 1032
Plainsboro, NJ 08536-2194
Phone (609) 785-5386

3228 Route 27
Suite 2a
Kendall Park, NJ 08824-1524
Phone (732) 297-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00850500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Physical Therapy of Princeton-Plainsboro Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients
Jersey Physical Therapy Associates LLC Physical Therapist CurrentSince Jul 1, 2002 Accepting new patients
Jersey Physical Therapy of Milltown/East Brunswick Physical Therapist CurrentSince Jul 1, 2006 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients

Locations

180 Tices Ln
East Brunswick, NJ 08816
Phone (732) 236-1793

3228 State Route 27
Kendall Park, NJ 08824
Phone (732) 297-0032

3228 State Route 27
Ste 2A
Kendall Park, NJ 08824
Phone (732) 297-0032

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

3 Liberty St
Ste 1032
Plainsboro, NJ 08536
Phone (609) 785-5386

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184673907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HEATHER CT",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361949",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241445",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "MARC",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00850500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7200022",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.