Individual provider Active NPI

Andrew M Rabin, MD

  • Vascular & Interventional Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1629154984
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA04101000 Issued in NJ
Practice address
483 Cranbury Road
East Brunswick, NJ 08816
Phone
(732) 390-0030
Fax
(732) 390-5383
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35082176 OH
Vascular & Interventional Radiology Physician 2085R0204X 25MA04101000 NJ Primary
Diagnostic Radiology Physician 2085R0202X 159146 NY
Diagnostic Radiology Physician 2085R0202X 25MA04101000 NJ

Addresses

Primary practice location

483 Cranbury Road
East Brunswick, NJ 08816

Mailing address

579 A Cranbury Road
East Brunswick, NJ 08816
Phone (732) 390-0040

Other identifiers 3

IdentifierTypeStateIssuer
01100352MedicaidNY
000000506346OtherOHANTHEM ID
2556112MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000074 OH Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2062451909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Temple University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

1404 E 2ND St
MHN Defiance Hospital
Defiance, OH 43512-2440
Phone (419) 783-3239

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159146NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Mar 27, 2020 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown, LLC CurrentSince Mar 27, 2020 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Lakes Radiology PLLC Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Medical Imaging PC Diagnostic Radiology Past Accepting new patients
X-Ray, Inc. Diagnostic Radiology Past Accepting new patients
Hillcrest Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2702 Navarre Ave
Ste 101
Oregon, OH 43616
Phone (419) 407-2663

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

Interoperability endpoints

  • Direct secure messaging: arabin108496@direct.bsmhealth.org

Organizations & group practices 11

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 6

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": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1629154984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 A CRANBURY ROAD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CRANBURY ROAD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0030",
            "fax_number": "732-390-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35082176",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA04101000",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "159146",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04101000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01100352",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000506346",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2556112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.