Active NPI
Vadim Rubin, M.D.
- Nephrology Physician
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA11634400
- Practice address
- 870 Palisade Avenue
Suite 202
Teaneck, NJ 07666 - Phone
- (551) 996-9189
- NPI assigned
- Dec 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 281174 | NY | |
| Nephrology Physician | 207RN0300X | 25MA11634400 | NJ | Primary |
Addresses
Primary practice location
870 Palisade Avenue
Suite 202
Teaneck, NJ 07666
Mailing address
870 Palisade Avenue
Suite 202
Teaneck, NJ 07666
Phone (551) 996-9189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Brookdale PLZ
Brooklyn, NY 11212-3198
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
Hospital & facility affiliations
- Lincoln Hospital
- Brookdale Hospital Medical Center
- Lincoln Medical & Mental Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11634400 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Single Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Single Specialty | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Single Specialty | Current | Accepting new patients |
| Downtown Bronx Medical Associates PC | Single Specialty | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
870 Palisade Ave
Teaneck, NJ 07666
Phone (201) 907-0900
870 Palisade Ave
Ste 202
Teaneck, NJ 07666
Phone (201) 836-0897
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1335 Linden Blvd
Ste 100
Brooklyn, NY 11212
Phone (718) 240-5100
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- vrubin3919454@nychhc.direct-ci.com
- vadim.rubin@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 8
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.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
Single Specialty
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
Single Specialty
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Single Specialty
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
Single Specialty
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Single Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1922405042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 PALISADE AVENUE",
"address_2": "SUITE 202",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "551-996-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 PALISADE AVENUE",
"address_2": "SUITE 202",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "551-996-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "VADIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-04",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "281174",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA11634400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.