Individual provider Active NPI

Mark J Rubinetti, M.D.

  • Internal Medicine Physician
  • Succasunna, NJ
National Provider Identifier
1699705020
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05505500 Issued in NJ
Practice address
20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348
Phone
(973) 927-2888
Fax
(973) 927-2808
NPI assigned
Jul 3, 2006
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 25MA05505500 NJ Primary

Addresses

Primary practice location

20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348

Mailing address

20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348
Phone (972) 927-2888

Other identifiers 1

IdentifierTypeStateIssuer
3445801MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040220000027 NJ Practitioner - Internal Medicine 5890680516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Commerce Blvd
Suite D
Succasunna, NJ 07876-1348
Phone (908) 789-3123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

20 Commerce Blvd
Ste D
Succasunna, NJ 07876
Phone (908) 789-3123

456 Prospect Ave
West Orange, NJ 07052
Phone (908) 925-2273

Organizations & group practices 3

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 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1699705020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761348",
            "telephone_number": "972-927-2888",
            "fax_number": "973-927-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE BLVD",
            "address_2": "SUITE D",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761348",
            "telephone_number": "973-927-2888",
            "fax_number": "973-927-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINETTI",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05505500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3445801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.