Individual provider Active NPI

Vladimir Rukshin, M.D.

  • Cardiovascular Disease Physician
  • Old Bridge, NJ
National Provider Identifier
1760716542
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08756700 Issued in NJ
Practice address
2433 Highway 516 Ste B
Old Bridge, NJ 08857-1899
Phone
(732) 617-0033
Fax
(866) 263-5979
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA08756700 NJ Primary

Addresses

Primary practice location

2433 Highway 516 Ste B
Old Bridge, NJ 08857-1899

Mailing address

13 Deer Path
Holmdel, NJ 07733-2028
Phone (732) 264-1933

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
I20100917000114 NJ Practitioner - Cardiovascular Disease (Cardiology) 8628193448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On-Site Medical Group PCGroup PAC ID 2769715374, 3 clinicians

Practice addresses (Care Compare)

2433 Hwy 516
Suite B
Old Bridge, NJ 08857-1899
Phone (732) 617-0033

50 US Hwy 9
Suite 102
Morganville, NJ 07751-1558
Phone (732) 490-5939

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08756700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Medical Group PC CurrentSince Aug 10, 2019 Accepting new patients
Cardiology of NJ, P.C. Cardiovascular Disease CurrentSince Sep 18, 2012 Accepting new patients
RB Cardiology Reading Associates LLC Cardiovascular Disease CurrentSince Feb 23, 2017 Accepting new patients
Everhearts Cardiology LLC Cardiovascular Disease Past Accepting new patients

Locations

50 US Highway 9
Ste 102
Morganville, NJ 07751
Phone (732) 490-5939

21 Kilmer Dr
Ste A
Morganville, NJ 07751
Phone (732) 617-0033

2433 Route 516
Ste B
Old Bridge, NJ 08857
Phone (732) 617-0033

3 Hospital Plz
Ste 417
Old Bridge, NJ 08857
Phone (732) 360-1169

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

1198 Route 166
Toms River, NJ 08753
Phone (732) 201-2225

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1760716542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DEER PATH",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332028",
            "telephone_number": "732-264-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 HIGHWAY 516 STE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571899",
            "telephone_number": "732-617-0033",
            "fax_number": "866-263-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKSHIN",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08756700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.