Individual provider Active NPI

Melissa Theresa Rubin, APN

  • Primary Care Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1346550571
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NR11249000 Issued in NJ
Practice address
331 Newman Springs Rd
Building 1, 4TH Floor, Suite 143
Red Bank, NJ 07701-5688
Phone
(732) 832-7817
Fax
(609) 336-7897
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NR11249000 NJ
Critical Care Medicine Nurse Practitioner 363LC0200X 26NR11249000 NJ
Family Nurse Practitioner 363LF0000X 26NJ00302600 NJ
Primary Care Nurse Practitioner 363LP2300X 26NR11249000 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd
Building 1, 4TH Floor, Suite 143
Red Bank, NJ 07701-5688

Mailing address

331 Newman Springs Rd
Building 1, 4TH Floor, Suite 143
Red Bank, NJ 07701-5688
Phone (732) 832-7817

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
I20110217000178 NJ Practitioner - Nurse Practitioner 9234310707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Vreeland Dr
Suite 103
Skillman, NJ 08558-2620
Phone (609) 580-1255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Care Navigators Adult Health CurrentSince Mar 16, 2013 Accepting new patients
Dermatology Center of North Jersey CurrentSince Apr 30, 2024 Accepting new patients
Universal Health Care Navigators Adult Health CurrentSince Jan 4, 2013 Accepting new patients
Bernards Family Practice LLC CurrentSince May 9, 2024 Accepting new patients
Universal Health Care Navigators Adult Health PastSince Feb 26, 2013 Accepting new patients

Locations

39 Olcott Sq
Fl 2
Bernardsville, NJ 07924
Phone (908) 607-1877

1033 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 777-6444

401 S Van Brunt St
Ste 403
Englewood, NJ 07631
Phone (201) 408-5041

331 Newman Springs Rd
Ste 143
Red Bank, NJ 07701
Phone (732) 444-8303

10 Vreeland Dr
Skillman, NJ 08558
Phone (908) 533-1593

10 Vreeland Dr
Ste 103
Skillman, NJ 08558
Phone (609) 580-1255

350 Springfield Ave
Ste 200
Summit, NJ 07901
Phone (732) 832-7817

Interoperability endpoints

  • Direct secure messaging: melissa.rubin.1@13716.direct.athenahealth.com
  • Direct secure messaging: melissa.rubin.2@7628.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13716/brand/3/csg/1/fhir/r4

Organizations & group practices 5

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1346550571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BUILDING 1, 4TH FLOOR, SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-832-7817",
            "fax_number": "201-632-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BUILDING 1, 4TH FLOOR, SUITE 143",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-832-7817",
            "fax_number": "609-336-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MELISSA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NR11249000",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NJ",
            "license": "26NR11249000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00302600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NR11249000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.