Healthcare Provider Details

I. General information

NPI: 1518877547
Provider Name (Legal Business Name): KAYE RUBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 LAMINGTON CT
CLARKSBORO NJ
08020-1031
US

IV. Provider business mailing address

2806 LAMINGTON CT
CLARKSBORO NJ
08020-1031
US

V. Phone/Fax

Practice location:
  • Phone: 845-546-3553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15636300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: