Individual provider Active NPI

Fruma Rubin, NP

  • Family Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1316469216
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00669600 Issued in NJ
Practice address
137 High St FL 2a
Mount Holly, NJ 08060-1476
Phone
(609) 474-0120
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00669600 NJ Primary

Addresses

Primary practice location

137 High St FL 2a
Mount Holly, NJ 08060-1476

Mailing address

13 Remon LN
Lakewood, NJ 08701-3659
Phone (732) 901-2011

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919000346 NJ Practitioner - Nurse Practitioner 9335413194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Suite 1
Manalapan, NJ 07726-3255
Phone (732) 577-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00669600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Aug 12, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 12, 2022 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

921 E County Line Rd
Ste B
Lakewood, NJ 08701
Phone (732) 370-8500

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

219 Taylors Mills Rd
Ste 1
Manalapan, NJ 07726
Phone (732) 577-0088

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

804 W Park Ave
Bldg B
Ocean, NJ 07712
Phone (732) 493-4100

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: frubin74116@epicdirect.rwjbh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1316469216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 REMON LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013659",
            "telephone_number": "732-901-2011",
            "fax_number": "732-965-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIGH ST FL 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601476",
            "telephone_number": "609-474-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "FRUMA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00669600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.