Active NPI
Simon Rubin, HAD
- Hearing Instrument Specialist
- Hackensack, NJ
National Provider Identifier
1730674243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 25MG00143900
- Practice address
- 255 Main St
Hackensack, NJ 07601-5704 - Phone
- (201) 342-1080
- Fax
- (201) 342-3464
- NPI assigned
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 25MG00143900 | NJ | Primary |
Addresses
Primary practice location
255 Main St
Hackensack, NJ 07601-5704
Mailing address
255 Main St
Hackensack, NJ 07601-5704
Phone (201) 342-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00143900 | NJ | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1730674243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015704",
"telephone_number": "201-342-1080",
"fax_number": "201-342-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015704",
"telephone_number": "201-342-1080",
"fax_number": "201-342-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "SIMON",
"name_prefix": "Mr.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "25MG00143900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.