Individual provider Active NPI

Rubaba Hussain, M.D.

  • Family Medicine Physician
  • Clark, NJ
National Provider Identifier
1194913681
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09363800 Issued in NJ
Practice address
100 Commerce PL
Clark, NJ 07066-1302
Phone
(732) 499-0606
NPI assigned
Oct 9, 2007
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125052139 IL
Family Medicine Physician 207Q00000X 25MA09363800 NJ Primary

Addresses

Primary practice location

100 Commerce PL
Clark, NJ 07066-1302

Mailing address

3706 3Rd Ave
Bronx, NY 10456-2145
Phone (718) 530-0051

Other names 1

  • Dr. Ruby Hussain Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131227001246 NJ Practitioner - Family Practice 6507911351 Reassigns benefits to 1 organization
I20160902000598 NY Practitioner - Family Practice 6507911351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3750 B 3Rd Ave
Bronx, NY 10456-2102
Phone (312) 933-8057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052139ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RH Medical Professional PLLC CurrentSince Jul 11, 2017 Accepting new patients
Cogent Healthcare of New Jersey, PC Family Medicine CurrentSince Aug 20, 2013 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Aug 20, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 3, 2016 Accepting new patients
Harbor Primary Care PLLC Family Medicine CurrentSince Aug 1, 2026 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 3, 2016 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Parkway Med Urgent Care PC Past Accepting new patients
Parkway Urgent Care Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3706 3rd Ave
Bronx, NY 10456
Phone (347) 591-4136

3750B 3rd Ave
Bronx, NY 10456
Phone (312) 933-8057

2398 Broadway
New York, NY 10024
Phone (212) 721-2111

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: dr_ruby_hussain_--_hospitalist@yourcarecommunity.org

Organizations & group practices 10

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1194913681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562145",
            "telephone_number": "718-530-0051",
            "fax_number": "347-269-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE PL",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661302",
            "telephone_number": "732-499-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "RUBABA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125052139",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09363800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "HUSSAIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.