Active NPI
Madison T Rubino, FNP
- Nurse Practitioner
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ15004100
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-6414
- Fax
- (908) 598-2337
- NPI assigned
- Nov 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F11230147 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ15004100 | NJ | Primary |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (866) 362-1735
Other practice location 1
250 S Livingston Ave
Livingston, NJ 07039-4047
Phone (973) 992-4300
Other practice location 2
10-12 Elmer St
Madison, NJ 07940-1875
Phone (973) 377-2000
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11230147 | NJ | MD | Family Medicine Physician |
| 26NJ15004100 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Oaks Hospital Inc | Current | Accepting new patients | |
| Practice Associates Medical Group | Family Medicine | Current | Accepting new patients |
Locations
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
19 Prospect St
Summit, NJ 07901
Phone (908) 522-7000
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Family Medicine
-
- Psychiatric Hospital
- Summit, NJ
- NPI 1205880200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1821862095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "866-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-6414",
"fax_number": "908-598-2337"
}
],
"practiceLocations": [
{
"address_1": "250 S Livingston Ave",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070394047",
"country_code": "US",
"telephone_number": "973-992-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10-12 Elmer St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "NJ",
"postal_code": "079401875",
"country_code": "US",
"telephone_number": "973-377-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBINO",
"first_name": "MADISON",
"middle_name": "T",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "F11230147",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ15004100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.