Individual provider Active NPI

Noemy Rubinchik, MD

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1912082793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA07070800 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 342-1205
Fax
(201) 342-1259
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Specialist 174400000X MA07070800 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

PO Box 34049
Newark, NJ 07189-0001
Phone (201) 342-1205

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000856 NJ Practitioner - Anesthesiology 0749372282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

301 Lakehurst Rd
Toms River, NJ 08755-7335
Phone (732) 281-1590

52 1St St
Hackensack, NJ 07601-2044
Phone (201) 488-3003

80 Eisenhower Dr
Suite 100
Paramus, NJ 07652-1430
Phone (201) 336-1100

Merit-based Incentive Payment System (MIPS)

Final score
92.42 of 100Reported as group
Quality
91.18
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07070800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesia, LLC Specialist CurrentSince Jan 1, 2007 Accepting new patients
Gastroenterology Associates of New Jersey, LLC CurrentSince Aug 30, 2022 Accepting new patients
Vivian K. Bethala, MD PA Specialist CurrentSince Jan 1, 2022 Accepting new patients
Advanced Perioperative Medicine, P.a. CurrentSince Jan 1, 2007 Accepting new patients
Bergen Anesthesia Associates PA Specialist Past Accepting new patients
County Wide Anesthesia Group, LLC Specialist Past Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

52 1st St
Hackensack, NJ 07601
Phone (201) 342-0066

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

130 Kinderkamack Rd
Ste 301
River Edge, NJ 07661
Phone (201) 489-7772

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912082793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34049",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071890001",
            "telephone_number": "201-342-1205",
            "fax_number": "201-342-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-342-1205",
            "fax_number": "201-342-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINCHIK",
        "first_name": "NOEMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA07070800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.