Healthcare Provider Details

I. General information

NPI: 1891199105
Provider Name (Legal Business Name): JAY FRANCIS RUBINOFF PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2391 HWY 36
ATLANTIC HIGHLANDS NJ
07716-2532
US

IV. Provider business mailing address

2391 HWY 36
ATLANTIC HIGHLANDS NJ
07716-2532
US

V. Phone/Fax

Practice location:
  • Phone: 732-712-2300
  • Fax: 848-300-5194
Mailing address:
  • Phone: 848-488-2200
  • Fax: 848-300-5194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00999100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: