Individual provider Active NPI

Haya R. Rubin, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1619058864
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G59862 Issued in CA
Practice address
555 Bryant St
338
Palo Alto, CA 94301-1704
Phone
(650) 934-3689
Fax
(888) 619-9675
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 G59862 CA Primary

Addresses

Primary practice location

555 Bryant St
338
Palo Alto, CA 94301-1704

Mailing address

2290 W County Line Rd Ste 101
Jackson, NJ 08527-2156
Phone (443) 928-4741

Other practice location 1

2290 W County Line Rd Ste 101
Jackson, NJ 08527-2156
Phone (732) 645-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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
I20070117000356 CA Practitioner - Internal Medicine 3173524162 Practice locations: Palo Alto, CA
I20210525002467 NJ Practitioner - Internal Medicine 3173524162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakewood Medical AssociatesGroup PAC ID 4880903855, 3 clinicians

Practice addresses (Care Compare)

Palo Alto, CA 94301
Phone (650) 814-5780

229 W County Line Rd
Suite 101 1St Floor
Jackson, NJ 08527-2267

2290 W County Line Rd
Jackson, NJ 08527-2267

555 Bryant St
Suite 338
Palo Alto, CA 94301-1704

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58962CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Medical Associates CurrentSince May 12, 2021 Accepting new patients
Medzed Physician Services, Inc. CurrentSince Jan 26, 2022 Accepting new patients
Richard Joseph Schmidt M.D., Inc PastSince Jun 8, 2025 Accepting new patients
First Choice Physician Partners Internal Medicine Past Accepting new patients

Locations

300 Corporate Pointe
Ste 465
Culver City, CA 90230
Phone (323) 203-0070

2290 W County Line Rd
Ste 101
Jackson, NJ 08527
Phone (732) 565-5471

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11216/brand/1/csg/1/fhir/r4
  • Direct secure messaging: haya.rubin.1@11216.direct.athenahealth.com
  • Direct secure messaging: haya.rubin.1@25647.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1619058864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W COUNTY LINE RD STE 101",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272156",
            "telephone_number": "443-928-4741",
            "fax_number": "888-619-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BRYANT ST",
            "address_2": "338",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011704",
            "telephone_number": "650-934-3689",
            "fax_number": "888-619-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 W County Line Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085272156",
            "country_code": "US",
            "telephone_number": "732-645-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "HAYA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G59862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.