Active NPI
Rub Pediatrics MD PA
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1275722753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME54702
- Legal business name
- RUB PEDIATRICS MD PA
- Practice address
- 1190 NW 95TH St
Suite 409
Miami, FL 33150-2063 - Phone
- (305) 696-9490
- Fax
- (305) 696-6225
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Neuschatz
- Title
- Administrator
- Phone
- (305) 932-1007
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME54702 | FL | Primary |
| Pediatrics Physician | 208000000X | ME55002 | FL |
Addresses
Primary practice location
1190 NW 95TH St
Suite 409
Miami, FL 33150-2063
Mailing address
21110 Biscayne Blvd
Suite 308
Aventura, FL 33180-1227
Phone (305) 932-1007
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000101139 | Other | FL | HUMANA |
| 00821 | Other | BCBS | |
| 01398168 | Other | FL | AMERIGROUP |
| 1306802186 | Other | FL | NPI |
| 01398181 | Other | FL | AMERIGROUP |
| 000100573 | Other | FL | HUMANA |
| 051960000 | Medicaid | FL | |
| 051961801 | Medicaid | FL | |
| 1376509638 | Other | FL | NPI |
| 01778539 | Other | AMERIGROUP | |
| 051963400 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2330139 | Rub Pediatrics MD PA | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Rub Pediatrics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Pembroke Pines, FL
- NPI 1295162261
-
- Pediatrics Physician
- Aventura, FL
- NPI 1396701231
Locations
21110 Biscayne Blvd
Ste 308
Miami, FL 33180
Phone (305) 932-1007
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.736
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Aventura, FL
- NPI 1306802186
-
- Pediatrics Physician
- Aventura, FL
- NPI 1376509638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456444800000",
"number": "1275722753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 308",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-932-1007",
"fax_number": "305-696-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST",
"address_2": "SUITE 409",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502063",
"telephone_number": "305-696-9490",
"fax_number": "305-696-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUB PEDIATRICS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2016-02-26",
"status": "A",
"authorized_official_last_name": "NEUSCHATZ",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-932-1007"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME54702",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME55002",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000101139",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00821",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01398168",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1306802186",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01398181",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000100573",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051960000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051961801",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1376509638",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01778539",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051963400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.