Individual provider Active NPI

Kimberly Ann Rubino, A.P.N.

  • Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1487082731
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00466400 Issued in NJ
Practice address
1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894
Phone
(732) 994-4242
Fax
(732) 363-5164
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00466400 NJ
Nurse Practitioner 363L00000X 26NJ00466400 NJ Primary

Addresses

Primary practice location

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894

Mailing address

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894
Phone (732) 994-4242

Other practice location 1

456 Chestnut St Unit 303
Lakewood, NJ 08701-6124
Phone (732) 994-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725002940 NJ Practitioner - Nurse Practitioner 1355887399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

1382 Lanes Mill Rd
Suite 201
Lakewood, NJ 08701-3894
Phone (732) 994-4242

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 28, 2025 Accepting new patients
Tru OBGYN & Birth Center LLC CurrentSince Jun 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 28, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Tru OBGYN & Birth Center LLC Past Accepting new patients
Lifeline Medical Associates, LLC PastSince Feb 1, 2025 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1382 Lanes Mill Rd
Lakewood, NJ 08701
Phone (732) 994-4242

1382 Lanes Mill Rd
Ste 201
Lakewood, NJ 08701
Phone (732) 994-4242

456 Chestnut St
Unit 303
Lakewood, NJ 08701
Phone (732) 994-4242

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10520/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.rubino.1@10520.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1487082731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013894",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013894",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Chestnut St Unit 303",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016124",
            "country_code": "US",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00466400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00466400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.