Kenneth J Rubin MD PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

25MA03317200 Issued in NJ

Legal business name

KENNETH J RUBIN MD PA

Practice address

170 Morris Ave
Suite D
Long Branch, NJ 07740-8214

Phone

(732) 870-3535

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Rubin, MD

Title

President

Phone

(732) 870-3535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1649580820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE",
            "address_2": "SUITE D",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408214",
            "telephone_number": "732-870-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE",
            "address_2": "SUITE D",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408214",
            "telephone_number": "732-870-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J RUBIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-870-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "25MA03317200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sokratis Katsoudas, MD
• Brian David Kaufmann, PA-C
• Ikwinder Preet Kaur
• Jennifer Keedy, MD
• Nicole Keegan, NP
• Mildred Mary Kenney-Lau, RN, APN.C
• Apurva Avadhut Ketkar, MD
• Awais Khalid
• Farhan Khalid, MD
• Mahrukh Ali Khan, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.