NPIMap

Individual provider Active NPI

Emma Rubin, M.D.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1902965924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038284E Issued in PA
Practice address
201 Smallacombe Dr
Scranton, PA 18508-2616
Phone
(570) 961-0171
Fax
(570) 207-2411
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD038284E PA Primary

Addresses

Primary practice location

201 Smallacombe Dr
Scranton, PA 18508-2616

Mailing address

201 Smallacombe Dr
Scranton, PA 18508-2616
Phone (570) 961-0171

Other identifiers 2

IdentifierTypeStateIssuer
MD038284EOtherPAMD LICENSE
0010979250001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000390 PA Practitioner - Internal Medicine 5294911293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lackawanna Medical Group PCGroup PAC ID 6800870882, 4 clinicians

Practice addresses (Care Compare)

201 Smallacombe Dr
Scranton, PA 18508-2616
Phone (570) 961-0171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038284EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lackawanna Medical Group PC Internal Medicine CurrentSince Jun 30, 1987 Accepting new patients

Locations

201 Smallacombe Dr
Scranton, PA 18508
Phone (570) 961-0171

Interoperability endpoints

  • Direct secure messaging: erubin@lmg.medentdirect.com
  • Direct secure messaging: emma.rubin@directaddress.net

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.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902965924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SMALLACOMBE DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082616",
            "telephone_number": "570-961-0171",
            "fax_number": "570-207-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SMALLACOMBE DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082616",
            "telephone_number": "570-961-0171",
            "fax_number": "570-207-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038284E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD038284E",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010979250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.