Susan Basra Rubino, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA067023 Issued in NJ

Practice address

85 Woodland Rd
Short Hills, NJ 07078-2449

Phone

(973) 315-9076

Fax

(973) 376-0357

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 Faculty Practice Associates at St Barnabas Med Ctr

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1114975257
  NPD (past)
• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1912948738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WOODLAND RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782449",
            "telephone_number": "973-315-9076",
            "fax_number": "973-376-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WOODLAND RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782449",
            "telephone_number": "973-315-9076",
            "fax_number": "973-376-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "SUSAN",
        "middle_name": "BASRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA067023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rockmore, PSY.D.
• Amy B Roter
• Alison J Roth, MSW
• Douglas M Roth, DO
• Royal Homecare LLC
• Phaedra Ruddock-Dunn, LSW
• Amy Sadeghi, L.S.W.
• Mark M Samaan, PHARMD
• Gianna Marie Sandomenico, APN
• Niel Santiago, PT, CEAS

• Internal Medicine Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.