Gennaro Rubino, M.D.
Individual provider Active NPI Internal Medicine Physician · Clifton, NJ
NPI 1194747725 · NPPES record last updated May 13, 2011
Key facts
- NPI
- 1194747725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA06284000 (NJ)
- Practice address
- 1195 Clifton Ave
Clifton, NJ 07013-3621 - Phone
- (973) 471-4004
- Fax
- (973) 471-1180
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Medical Group PC
Practice addresses (Care Compare)
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331
Hospital & facility affiliations
- Adoration Home Health
- St Joseph'S University Medical Center Inc
- Cooperman Barnabas Medical Center
- Hackensack University Medical Center
- Kessler Rehab Center
- Complete Care at Cedar Grove
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040413000323 | NJ | Practitioner - Internal Medicine | 8123012101 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Current |
Accepting new patients |
| St Josephs Medical Group PC | Internal Medicine | Current |
Accepting new patients |
| Cepp Innovation Sports & Physical Rehab Center | Past | Accepting new patients |
Locations
1135 Broad St
Clifton, NJ 07013
Phone (973) 574-8585
1135 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 471-3500
1195 Clifton Ave
Clifton, NJ 07013
Phone (201) 265-5700
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
220 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06284000 | NJ | Yes |
Addresses
Primary practice location
1195 Clifton Ave
Clifton, NJ 07013-3621
Mailing address
1195 Clifton Ave
Clifton, NJ 07013-3621
Phone (973) 471-4004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HMO BC/BS | Other | NJ | BC/BS INDIVIDUAL PROVIDER |
| P490161 | Other | NJ | OXFORD PROVIDER NUMBER |
| 645491 | Other | NJ | WELL CHOICE IND PROV. # |
| 7047304 | Medicaid | NJ | |
| DA4041 | Other | NJ | PALMETTO GBA - RAILROAD MEDICARE |
| 090491 | Other | NJ | AMERIHEALTH PROVIDER # |
| 2K1745 | Other | NJ | HEALTHNET IND. PROV. # |
| 1091466 | Other | NJ | HORIZON NJ HEALTHCARE |
| 7986025004 | Other | NJ | CIGNA PROVIDER NUMBER |
| P00057790 | Other | NJ | RAILROAD MEDICARE |
Other providers in Clifton, NJ
- Abigail Rozier
- Robyn E Rozwaski
- RS Pain and Wellness LLC
- Larry I Rubin
- Elena Ann Rubino
- Rupa Ruffin
- Maria Ruiz-Pedraza
- Frank Ruiz
- Brielle Alexandra Ruppert
- Melissa Rusli
All providers in Clifton, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.