Nicole Dawn Rubackin-Hayward, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00298400 Issued in NJ

Practice address

159 Marlboro Rd
Glen Rock, NJ 07452-1902

Phone

(201) 857-4467

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Multispecialty Association PAGroup PAC ID 7113990318, 5 clinicians

Active Foot and Ankle Care LLCGroup PAC ID 4385667146, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.98 of 100Reported as group

Quality

95

Improvement activities

40

Cost

73.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Foot & Ankle Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
  • NPI 1538243076

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Medical Multispecialty Association PA

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1891905873
  Medicare reassignment Care Compare group NPD
• Kesler Podiatry P C

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1912161225
  Medicare reassignment NPD
• Foot Forward Podiatry PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1487314332

  NJ

  Medicare reassignment NPD
• Pedirite Medical NJ LLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1942850250

  NJ

  Medicare reassignment NPD
• Thomas Cusumano

  dba In Step Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
  • NPI 1417135732

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1316176068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MARLBORO RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521902",
            "telephone_number": "201-857-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARLBORO RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521902",
            "telephone_number": "201-857-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBACKIN-HAYWARD",
        "first_name": "NICOLE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00298400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Rosenberg, PSY.D.
• Rinat Roth, DDS
• Anne Rothenberg, PSYD
• Rebecca Rowtie, LAC
• RR Smiles LLC
• Jessica Russo
• Jeffrey Rutman
• Sage Acupuncture & Herbal Clinic LLC
• Manaf Saker, D.M.D.
• Eric M Saunders, MD

• Primary Podiatric Medicine Podiatrist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.