Individual provider Active NPI

Sara Stoll Rubin

  • Speech-Language Pathologist
  • Passaic, NJ
National Provider Identifier
1275970907
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00686200 Issued in NJ
Practice address
238 Aycrigg Ave
Apt B
Passaic, NJ 07055-4775
Phone
(973) 928-1645
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00686200 NJ Primary

Addresses

Primary practice location

238 Aycrigg Ave
Apt B
Passaic, NJ 07055-4775

Mailing address

238 Aycrigg Ave
Apt B
Passaic, NJ 07055-4775
Phone (973) 928-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41YS00686200NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1275970907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 AYCRIGG AVE",
            "address_2": "APT B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554775",
            "telephone_number": "973-928-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 AYCRIGG AVE",
            "address_2": "APT B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554775",
            "telephone_number": "973-928-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL RUBIN",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00686200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.