Organization Active NPI

Rub Pediatrics MD PA

  • Pediatrics Physician
  • Pembroke Pines, FL
National Provider Identifier
1295162261
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME55002 Issued in FL
Legal business name
RUB PEDIATRICS MD PA
Practice address
601 N Flamingo Rd Ste 103
Pembroke Pines, FL 33028-1007
Phone
(305) 932-1007
Fax
(305) 696-6225
NPI assigned
Oct 4, 2013
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME55002 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 103
Pembroke Pines, FL 33028-1007

Mailing address

21110 Biscayne Blvd Ste 308
Aventura, FL 33180-1229
Phone (305) 932-1007

Other identifiers 9

IdentifierTypeStateIssuer
000100573OtherFLHUMANA
051960000MedicaidFL
000101139OtherFLHUMANA
00821OtherBCBS
051963400MedicaidFL
01398181OtherFLAMERIGROUP
01778539OtherFLAMERIGROUP
01398168OtherFLAMERIGROUP
051961801MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Rub Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1295162261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 308",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801229",
            "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": "601 N FLAMINGO RD STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281007",
            "telephone_number": "305-932-1007",
            "fax_number": "305-696-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUB PEDIATRICS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "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": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000100573",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051960000",
            "state": "FL"
        },
        {
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051963400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01398181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01778539",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01398168",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051961801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.