Individual provider Active NPI

Rutul Amin, DO

  • Family Medicine Physician
  • Edgewater, NJ
National Provider Identifier
1396366183
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11728500 Issued in NJ
Practice address
27 Edgewater Towne Ctr
Edgewater, NJ 07020-1246
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 3, 2020
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB11728500 NJ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230828000372 NJ Practitioner - Family Practice 8325401128 Reassigns benefits to 2 organizations
I20241202002433 NY Practitioner - Family Practice 8325401128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Exchange PL
Suite 503
Jersey City, NJ 07302-3914
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11728500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Meridian Medical Group - Specialty Care, PC Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Deepak Amin, M.D., LLC Family Medicine CurrentSince Jul 15, 2023 Accepting new patients
Montefiore Medical Center Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
One Medical of Ny, P.C. Family Medicine CurrentSince Jan 17, 2026 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 H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1396366183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 EDGEWATER TOWNE CTR",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201246",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RUTUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11728500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.