Individual provider Active NPI

Vadim Zarubin, MD

  • Hematology & Oncology Physician
  • Jersey City, NJ
National Provider Identifier
1790188050
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA10333400 Issued in NJ
Practice address
377 Jersey Ave Ste 160
Jersey City, NJ 07302-4397
Phone
(201) 333-8248
Fax
(201) 333-8469
NPI assigned
Oct 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA10333400 NJ Primary

Addresses

Primary practice location

377 Jersey Ave Ste 160
Jersey City, NJ 07302-4397

Mailing address

121 Dekalb Ave # 19C
Brooklyn, NY 11201-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161117000116 NY Practitioner - Internal Medicine 7416236724 Reassigns benefits to 1 organization
I20180514000261 CT Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Hematology/Oncology 7416236724 Reassigns benefits to 1 organization
I20181130000436 NJ Practitioner - Hematology/Oncology 7416236724

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology, Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Feb 28, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 1, 2023 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Midstate Medical Center CurrentSince Feb 28, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Hematology & Oncology CurrentSince Jul 1, 2023 Accepting new patients
Midstate Medical Center Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Interoperability endpoints

  • Direct secure messaging: vadim.zarubin@direct.bayonnemedicalcenter.md
  • Direct secure messaging: vzarubin2999190@direct.trinity-health.org

Organizations & group practices 7

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 1

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1790188050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE # 19C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 160",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024397",
            "telephone_number": "201-333-8248",
            "fax_number": "201-333-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARUBIN",
        "first_name": "VADIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA10333400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.