Individual provider Active NPI

Isaak Rubinov, DDS

  • General Practice Dentistry
  • East Rockaway, NY
National Provider Identifier
1013536846
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061720 Issued in NY
Practice address
426 Atlantic Ave
East Rockaway, NY 11518-1431
Phone
(516) 744-6740
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 061720 NY Primary

Addresses

Primary practice location

426 Atlantic Ave
East Rockaway, NY 11518-1431

Mailing address

14444 72ND Ave
Flushing, NY 11367-2402
Phone (347) 288-8729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061720NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Touch Dental PC CurrentSince Apr 13, 2025 Accepting new patients
Modern Dental Smile PC PastSince Apr 13, 2025 Accepting new patients

Locations

426 Atlantic Ave
East Rockaway, NY 11518
Phone (516) 341-6215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1013536846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14444 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672402",
            "telephone_number": "347-288-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 ATLANTIC AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181431",
            "telephone_number": "516-744-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINOV",
        "first_name": "ISAAK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.