NPIMap

Individual provider Active NPI

Barry P Rubino, MD

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1568541027
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04682700 Issued in NJ
Practice address
170 Morris Ave Ste C
Long Branch, NJ 07740-6660
Phone
(732) 229-9417
Fax
(732) 229-0151
NPI assigned
Nov 3, 2006
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04682700 NJ Primary

Addresses

Primary practice location

170 Morris Ave Ste C
Long Branch, NJ 07740-6660

Mailing address

170 Morris Ave Ste C
Long Branch, NJ 07740-6660
Phone (732) 229-9417

Other identifiers 3

IdentifierTypeStateIssuer
5094900MedicaidNJ
1364707OtherPATRICARE
17L831OtherNJEMPIRE BLUE SHIELD WELL C

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100814000081 NJ Practitioner - Internal Medicine 5193859023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

147 Pavilion Ave
Long Branch, NJ 07740-6415
Phone (732) 229-9417

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as individual
Quality
92.84
Improvement activities
40
Cost
73.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04682700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry P Rubino MD PA Internal Medicine CurrentSince Jun 29, 2010 Accepting new patients

Locations

147 Pavilion Ave
Long Branch, NJ 07740
Phone (732) 229-9417

170 Morris Ave
Ste C
Long Branch, NJ 07740
Phone (732) 229-0816

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1568541027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE STE C",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406660",
            "telephone_number": "732-229-9417",
            "fax_number": "732-229-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE STE C",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406660",
            "telephone_number": "732-229-9417",
            "fax_number": "732-229-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "BARRY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04682700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5094900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1364707",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE SHIELD WELL C",
            "identifier": "17L831",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.