Organization Active NPI

Rubin Clinic Inc

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1386689123
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0052944 Issued in FL
Legal business name
RUBIN CLINIC INC
Practice address
660 Glades Rd
Suite 110
Boca Raton, FL 33431-6465
Phone
(561) 391-7575
Fax
(561) 391-5575
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. John F Rubin, M.DNPI 1154518868
Title
President
Phone
(561) 391-7575

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0052944 FL Primary

Addresses

Primary practice location

660 Glades Rd
Suite 110
Boca Raton, FL 33431-6465

Mailing address

660 Glades Rd
Suite 110
Boca Raton, FL 33431-6465
Phone (561) 391-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000159 FL Part B Supplier - Clinic/Group Practice 5698964674 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1012850Rubin Clinic,the660 Glades Rd Ste 110, Boca Raton, FL 33431Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Locations

660 Glades Rd
Ste 110
Boca Raton, FL 33431
Phone (561) 391-7575

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1386689123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-391-7575",
            "fax_number": "561-391-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-391-7575",
            "fax_number": "561-391-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-391-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0052944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.