SIMONE GABRIELLE RUBIN DO
NPI 1710545959
Family Medicine - Adult Medicine in Rochelle Park, NJ

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
50 ESSEX ST STE 5, ROCHELLE PARK, NJ 07662(201) 843-3152 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2025, Aug 16, 2022, Jun 3, 2019 (3 updates tracked since 2019).

About Simone Gabrielle Rubin Do NPPES

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

SIMONE GABRIELLE RUBIN DO (NPI 1710545959) is an individual adult medicine provider in Rochelle Park, New Jersey, licensed in New Jersey (25MB11414000) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Alabama College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1710545959
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSIMONE GABRIELLE RUBINCredential: DO
Location Address50 ESSEX ST STE 5Rochelle Park, NJ 07662-4341
Mailing Address15 Essex RdParamus, NJ 07652-1451 · (201) 291-6000
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 3, 2019
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1710545959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in NJ · 25MB11414000
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

50 ESSEX ST STE 5, Rochelle Park, NJ 07662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Simone Gabrielle Rubin Do 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 ID9739560921
PECOS Enrollment IDI20220719003136
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.

Areas of Expertise CMS Part B claims 7

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 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.
384 services180 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
282 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
108 services108 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
61 services61 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
59 services59 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07662 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

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 Simone Rubin's NPI number?

The NPI number for Simone Rubin is 1710545959. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Simone Rubin located?

Simone Rubin practices at 50 Essex St Ste 5, Rochelle Park, NJ 07662. The listed phone number is (201) 843-3152.

What is Simone Rubin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Simone Rubin enrolled in Medicare?

Yes. Simone Rubin 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.

Is Simone Rubin affiliated with any hospitals?

According to CMS data, Simone Rubin is affiliated with Hackensack University Medical Center and Valley Hospital.

When was this NPI record last updated?

The NPPES record for Simone Rubin was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.