Organization Active NPI

Mark J Rubinetti MD LLC

  • Internal Medicine Physician
  • Succasunna, NJ
National Provider Identifier
1265628614
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA55055 Issued in NJ
Legal business name
MARK J RUBINETTI MD LLC
Practice address
20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348
Phone
(973) 927-2888
Fax
(973) 927-2808
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Mark John Rubinetti, M.D.
Title
Owner
Phone
(973) 927-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA55055 NJ Primary

Addresses

Primary practice location

20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348

Mailing address

20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348
Phone (973) 927-2888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1265628614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761348",
            "telephone_number": "973-927-2888",
            "fax_number": "973-927-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761348",
            "telephone_number": "973-927-2888",
            "fax_number": "973-927-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J RUBINETTI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "RUBINETTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-927-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.