Rutul Amin, DO
Individual provider Active NPI Family Medicine Physician · Edgewater, NJ
NPI 1396366183 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1396366183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB11728500 (NJ)
- Practice address
- 27 Edgewater Towne Ctr
Edgewater, NJ 07020-1246 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- May 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meridian Medical Group - Specialty Care PC
Practice addresses (Care Compare)
15 Exchange PL
Suite 503
Jersey City, NJ 07302-3914
Phone (888) 663-6331
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230828000372 | NJ | Practitioner - Family Practice | 8325401128 | Reassigns benefits to 2 organizations |
| I20241202002433 | NY | Practitioner - Family Practice | 8325401128 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Medical Group - Specialty Care, PC | Family Medicine | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Deepak Amin, M.D., LLC | Family Medicine | Current |
Accepting new patients |
| One Medical of Ny, P.C. | Family Medicine | Current |
Accepting new patients |
| Montefiore Medical Center | Family Medicine | Current |
Accepting new patients |
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Locations
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
27 Edgewater Towne Ctr
Edgewater, NJ 07020
15 Exchange Pl
Ste 503
Jersey City, NJ 07302
Phone (551) 233-2300
111 E 210th St
Bronx, NY 10467
185 Broadway
#2
New York, NY 10007
Phone 8886636331 ext. 86791
919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB11728500 | NJ | Yes |
Addresses
Primary practice location
27 Edgewater Towne Ctr
Edgewater, NJ 07020-1246
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other providers in Edgewater, NJ
- Alia A Alfagih
- Alpha Medical Care Services LLC
- Alpha Medx LLC
- Barbara Nan Altman
- Lucia Alvarez
- Ando Chiropractic, LLC
- Seiichiro Ando
- Andrei Terentiev MD LLC
- Robert Miles Andrews
- Yelena Andriescu
All providers in Edgewater, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.