Elliot H Rubin, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA04618900 Issued in NJ

Practice address

317 Cleveland Ave
2ND Floor
Highland Park, NJ 08904-1817

Phone

(732) 249-8999

Fax

(732) 249-7827

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1689697518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "address_2": "2ND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-249-8999",
            "fax_number": "732-249-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE",
            "address_2": "2ND FLOOR",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041817",
            "telephone_number": "732-249-8999",
            "fax_number": "732-249-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ELLIOT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA04618900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald H Roth, D.C.
• Sharon Rothbart, LCSW
• Terry Chazan Rothberg, OT
• Elissa Rozov, PH.D.
• Bluma Rubin
• Michelle Rullo, MSW, LSW
• Tammy Russ-Fishbane, LCSW
• Anurita Sadhu
• Ivan Saiff, RPH
• Saul Salkin, LCSW

• Pediatric Adolescent Medicine Physician in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.