Active NPI
Mariam S Rubbani, MD
- Specialist
- Newark, NJ
National Provider Identifier
1801939723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07566500
- Practice address
- 550 Bloomfield Ave
Newark, NJ 07107-1386 - Phone
- (973) 483-1500
- Fax
- (973) 483-4577
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07566500 | NJ | Primary |
Addresses
Primary practice location
550 Bloomfield Ave
Newark, NJ 07107-1386
Mailing address
PO Box 24008
Jersey City, NJ 07304-0701
Phone (973) 483-1500
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07566500 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Spine & Rehab | Past | Accepting new patients | |
| Astra MD P C | Past | Accepting new patients | |
| Hudson MD Group | Past | Accepting new patients | |
| Atlantic Rehabilitation Medicine Associates PA | Past | Accepting new patients | |
| South Shore Medical Care &Diagnostic, PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Clifton, NJ
- NPI 1437332558
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1841528080
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Physical Medicine & Rehabilitation Physician
- Windermere, FL
- NPI 1194006981
-
- Physical Medicine & Rehabilitation Physician
- Holbrook, NY
- NPI 1700054954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801939723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24008",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073040701",
"telephone_number": "973-483-1500",
"fax_number": "973-483-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BLOOMFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071071386",
"telephone_number": "973-483-1500",
"fax_number": "973-483-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBBANI",
"first_name": "MARIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07566500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.