The Rubin Heart Clinic LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

THE RUBIN HEART CLINIC LLC

Practice address

4500 Sunny Isle Ste 9
Christiansted, VI 00820-4493

Phone

(340) 778-1802

Fax

(340) 778-6460

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Liza V Rubin

Title

Administration

Phone

(901) 752-5661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisha Candice Gray, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1558191932
  NPD
• Luis Alexander Frias Mendoza

  • Neurology Physician
  • Frederiksted, VI
  • NPI 1982710117
  NPD (past)
• Dante P Galiber, MD

  • Cardiovascular Disease Physician
  • Christiansted, VI
  • NPI 1710928940

  Cardiovascular Disease

  NPD (past)
• Camille Marise Paul, PA-C

  • Physician Assistant
  • Christiansted, VI
  • NPI 1023596418
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1639426802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 EXETER RD STE 80",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383919",
            "telephone_number": "901-728-3910",
            "fax_number": "901-206-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SUNNY ISLE STE 9",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204493",
            "telephone_number": "340-778-1802",
            "fax_number": "340-778-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RUBIN HEART CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "901-752-5661"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackery J Tegge, MCMS, PA-C
• Templeworks Wellness & Therapeutics
• The Guy Alexander Ambulatory Medicine Academy
• The Heart Center PC
• The Prevention Specialists LLC
• The Womens Wellness Group, Professional LLC
• Alison Kaitlin Thompson, MS, BCBA
• Ky'Onique C Thompson
• Albert A Titus, MD
• Trevena B Moore, MD & Associates, PC

• All providers in Christiansted, VI
• Cardiovascular Disease Physician in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.