NPIMap

Individual provider Active NPI

Evan S Rubin, D.O.

  • Family Medicine Physician
  • Tinton Falls, NJ
National Provider Identifier
1881750685
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08321200 Issued in NJ
Practice address
55 N. Gilbert Street
Suite 3102
Tinton Falls, NJ 07701
Phone
(732) 460-9840
Fax
(732) 460-9848
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08321200 NJ Primary

Addresses

Primary practice location

55 N. Gilbert Street
Suite 3102
Tinton Falls, NJ 07701

Mailing address

55 N. Gilbert Street
Suite 3102
Tinton Falls, NJ 07701
Phone (732) 460-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000214 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2163478140 Practice locations: New York, NY
I20080305000462 NJ Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2163478140 Reassigns benefits to 2 organizations
Practice locations: Tinton Falls, NJ

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
May accept Medicare assignment
Group practices
VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

3600 State Route 66
Neptune, NJ 07753-2645

55 N Gilbert St
Tinton Falls, NJ 07701-4958
Phone (732) 219-8664

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08321200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VPS Medical Services, PC CurrentSince Jan 1, 2020 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Ima Urgent Care Past Accepting new patients
Integrated Medicine Alliance PA Family Medicine PastSince Sep 17, 2019 Accepting new patients

Locations

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: evan.rubin.p2@direct.vnahg.nextgenshare.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

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.

Hospital & facility affiliations 8

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1881750685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N. GILBERT STREET",
            "address_2": "SUITE 3102",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N. GILBERT STREET",
            "address_2": "SUITE 3102",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "EVAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08321200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.