Provider Demographics
NPI:1013020510
Name:RUBEL, ARYE RAY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ARYE
Middle Name:RAY
Last Name:RUBEL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 TEANECK ROAD
Mailing Address - Street 2:C/O JEWISH FAMILY SERVICE, INC.
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3626
Mailing Address - Country:US
Mailing Address - Phone:201-837-9090
Mailing Address - Fax:201-837-9393
Practice Address - Street 1:1485 TEANECK ROAD
Practice Address - Street 2:C/O JEWISH FAMILY SERVICE, INC.
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3626
Practice Address - Country:US
Practice Address - Phone:201-837-9090
Practice Address - Fax:201-837-9393
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006723001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ640765CWNMedicare ID - Type Unspecified