Individual provider Active NPI

Ina Rubin, LCSW

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1871650796
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00193700 Issued in NJ
Practice address
297 Kinderkamack Rd Ste 212
Oradell, NJ 07649-1535
Phone
(201) 666-4478
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00193700 NJ Primary

Addresses

Primary practice location

297 Kinderkamack Rd Ste 212
Oradell, NJ 07649-1535

Mailing address

91 Clairmont Ave
Westwood, NJ 07675-2836
Phone (201) 666-4478

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315000504 NJ Practitioner - Clinical Social Worker 9739429416 Practice locations: Oradell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

297 Kinderkamack Rd
Suite 212
Oradell, NJ 07649-1535
Phone (201) 666-4478

91 Clairmont Ave
Westwood, NJ 07675-2836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00193700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC PastSince Feb 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1871650796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CLAIRMONT AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752836",
            "telephone_number": "201-666-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD STE 212",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491535",
            "telephone_number": "201-666-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "INA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00193700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.