Organization Active NPI

Rubaba Hussain MD

  • Family Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1609293000
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09363800 Issued in NJ
Legal business name
RUBABA HUSSAIN MD
Practice address
1428 Teaneck Rd
Teaneck, NJ 07666-5030
Phone
(312) 933-8057
Fax
(201) 733-9109
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Rubaba Hussain, M.D.
Title
MD
Phone
(312) 933-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA09363800 NJ Primary

Addresses

Primary practice location

1428 Teaneck Rd
Teaneck, NJ 07666-5030

Mailing address

PO Box 423
Upper Saddle River, NJ 07458-0423
Phone (312) 933-8057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1609293000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074580423",
            "telephone_number": "312-933-8057",
            "fax_number": "201-733-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665030",
            "telephone_number": "312-933-8057",
            "fax_number": "201-733-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBABA HUSSAIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "RUBABA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "312-933-8057",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09363800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.