Organization Active NPI

Fern J Rubin M.D.

  • Pediatrics Physician
  • Golden Valley, MN
National Provider Identifier
1346579786
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FERN J RUBIN M.D.
Practice address
5851 Duluth St Ste 317
Golden Valley, MN 55422-3957
Phone
(763) 546-4301
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name
Dr. Fern Joy Rubin, M.D.NPI 1558392860
Title
M.D.
Phone
(763) 546-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5851 Duluth St Ste 317
Golden Valley, MN 55422-3957

Mailing address

5851 Duluth St Ste 317
Golden Valley, MN 55422-3957
Phone (763) 546-4301

National Provider Directory

National Provider Directory

Locations

5851 Duluth St
Ste 317
Golden Valley, MN 55422
Phone (716) 546-9188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1346579786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 317",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223957",
            "telephone_number": "763-546-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST STE 317",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223957",
            "telephone_number": "763-546-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN J RUBIN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "FERN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "763-546-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.