Individual provider · Type 1 NPI
Simone Gabrielle Rubin, DO
Adult Medicine Physician · Rochelle Park, NJ
NPI number
1710545959
Active
Practice location
50 Essex St Ste 5
Rochelle Park, NJ 07662-4341
Mailing address
15 Essex Rd
Paramus, NJ 07652-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 25MB11414000 (NJ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1710545959
Simone Gabrielle Rubin, DO's National Provider Identifier is 1710545959, issued on Jun 3, 2019. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Rochelle Park, NJ. The record was last updated on Dec 11, 2025.