Provider Demographics
NPI:1023070422
Name:RUBIN, SETH M (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:M
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2470
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2470
Mailing Address - Country:US
Mailing Address - Phone:908-806-0080
Mailing Address - Fax:908-806-3478
Practice Address - Street 1:4 WALTER E FORAN BLVD STE 302
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4668
Practice Address - Country:US
Practice Address - Phone:908-806-0080
Practice Address - Fax:908-806-3478
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05897800174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5558409Medicaid
NJ1054815OtherHORIZON NJ HEALTH
1291781OtherONE HEALTH PLAN
223702560001OtherQUALCARE
420424OtherCIGNA
4486OtherLOCAL 825
1804659OtherPHCS
HUP035OtherOXFORD
8199902OtherAMERIGROUP
1137940OtherUNITED
4369724OtherAETNA
0662159000OtherAMERIHEALTH
1326818OtherFIRST HEALTH/CCN
1K5052OtherHEALTHNET
4486OtherLOCAL 825
1291781OtherONE HEALTH PLAN