1. Home
  2. Directory
  3. New Jersey
  4. Saddle Brook
  5. Family Medicine
  6. NPI Profile

DR. RUBY RABIYA-SHEIKH KAPADIA DO, MS
NPI 1134544307
Family Medicine - Addiction Medicine in Saddle Brook, NJ

Active since February 25, 2014PECOS EnrolledAccepts Medicare Assignment
444 MARKET ST STE 2B, SADDLE BROOK, NJ 07663(201) 897-3099 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2019, Aug 20, 2016 (2 updates tracked since 2016).

About Dr. Ruby Rabiya-sheikh Kapadia Do, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUBY RABIYA-SHEIKH KAPADIA DO, MS (NPI 1134544307) is an individual addiction medicine provider in Saddle Brook, New Jersey, licensed in New Jersey (25MB09797300) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134544307
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. RUBY RABIYA-SHEIKH KAPADIACredential: DO, MS
Location Address444 MARKET ST STE 2BSaddle Brook, NJ 07663
Mailing Address147 Chestnut StEmerson, NJ 07630-1076 · (484) 223-5388
Phone(201) 897-3099
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 25, 2014
Last NPPES UpdateMarch 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1134544307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NJ · 25MB09797300
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 281355 (NY), 25MB09797300 (NJ)
444 MARKET ST STE 2B, Saddle Brook, NJ 07663
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ruby Rabiya-sheikh Kapadia Do, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355637679
PECOS Enrollment IDI20160912002103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Ruby Kapadia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balance Medical Care LLC
Same address
Addiction Medicine
444 MARKET ST STE 2B
Saddle Brook, NJ 07663
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1053801530 (201) 897-3099
Wayne Behavioral Service, LLC
6.9 mi
Psychiatry
401 HAMBURG TPKE, STE. 302
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1487677795 (973) 790-9222
North Haledon Medical, PC
7.7 mi
Specialist
510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1477624088 (973) 942-6005
The Radiology Group Of New Jersey, LLC
38 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,076 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
364 services63 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
291 services45 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
167 services24 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
123 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALANCE MEDICAL CARE LLC
Family Medicine (Addiction Medicine)
444 MARKET ST STE 2B
SADDLE BROOK, NJ 07663
Bergen County (201) 897-3099
BRIGID LEE DORRITY PA-C
Physician Assistant
444 MARKET ST STE 2B
SADDLE BROOK, NJ 07663
Bergen County (201) 897-3099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruby Kapadia's NPI number?

The NPI number for Ruby Kapadia is 1134544307. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Ruby Kapadia located?

Ruby Kapadia practices at 444 Market St Ste 2B, Saddle Brook, NJ 07663. The listed phone number is (201) 897-3099.

What is Ruby Kapadia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Ruby Kapadia enrolled in Medicare?

Yes. Ruby Kapadia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ruby Kapadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Kapadia reassigns Medicare benefits to 4 organizations: Balance Medical Care LLC (Saddle Brook, NJ), Wayne Behavioral Service, LLC (Wayne, NJ), North Haledon Medical, PC (Wayne, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Kapadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruby Kapadia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ruby Kapadia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ruby Kapadia affiliated with any hospitals?

According to CMS data, Ruby Kapadia is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Ruby Kapadia was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.