Individual provider Active NPI

Douglas S Rabin, MD

  • Reproductive Endocrinology Physician
  • Fair Lawn, NJ
National Provider Identifier
1326156480
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
NJMA69160 Issued in NJ
Practice address
33-00 Broadway
Suite 300
Fair Lawn, NJ 07410-4617
Phone
(201) 703-9555
Fax
(201) 475-5678
NPI assigned
Aug 29, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NJMA69160 NJ Primary

Addresses

Primary practice location

33-00 Broadway
Suite 300
Fair Lawn, NJ 07410-4617

Mailing address

33-00 Broadway
Suite 300
Fair Lawn, NJ 07410-4617
Phone (201) 703-9555

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NJMA69160NJMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sher Institute for Reproductive Medicine New Jersey PA Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326156480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-00 BROADWAY",
            "address_2": "SUITE 300",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104617",
            "telephone_number": "201-703-9555",
            "fax_number": "201-475-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-00 BROADWAY",
            "address_2": "SUITE 300",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104617",
            "telephone_number": "201-703-9555",
            "fax_number": "201-475-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "NJMA69160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.