Active NPI
Rub Pediatrics MD PA
- Pediatrics Physician
- Aventura, FL
National Provider Identifier
1396701231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME55002
- Legal business name
- RUB PEDIATRICS MD PA
- Practice address
- 21110 Biscayne Blvd
Suite 308
Aventura, FL 33180-1227 - Phone
- (305) 932-1007
- Fax
- (305) 696-6225
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Neuschatz, BBA
- Title
- Administrator
- Phone
- (305) 932-1007
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME55002 | FL | Primary |
| Pediatrics Physician | 208000000X | ME54702 | FL |
Addresses
Primary practice location
21110 Biscayne Blvd
Suite 308
Aventura, FL 33180-1227
Mailing address
21110 Biscayne Blvd
Suite 308
Aventura, FL 33180-1227
Phone (305) 932-1007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00821 | Other | FL | BCBS GROUP |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2330224 | Rub Pediatrics MD PA | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Rub Pediatrics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Miami, FL
- NPI 1275722753
-
- Pediatrics Physician
- Pembroke Pines, FL
- NPI 1295162261
Locations
1190 NW 95th St
Ste 409
Miami, FL 33150
Phone (305) 696-9490
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Aventura, FL
- NPI 1306802186
-
- Pediatrics Physician
- Aventura, FL
- NPI 1376509638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1396701231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 308",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-932-1007",
"fax_number": "305-696-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 308",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-932-1007",
"fax_number": "305-696-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUB PEDIATRICS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "NEUSCHATZ",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-932-1007",
"authorized_official_credential": "BBA"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME55002",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME54702",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "00821",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.