Peter Rybak, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

051665 Issued in NY

Practice address

15 Canterbury Rd
Suite A2
Great Neck, NY 11021-2610

Phone

(516) 441-5060

Fax

(516) 570-2509

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321056000000",
    "number": "1073730933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY RD",
            "address_2": "SUITE A2",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212610",
            "telephone_number": "516-441-5060",
            "fax_number": "516-570-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY RD",
            "address_2": "SUITE A2",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212610",
            "telephone_number": "516-441-5060",
            "fax_number": "516-570-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051665",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "051665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Ann Russo, RN
• Zina Rutkin, PH.D
• Brittany Ryan
• Deirdre Ryan, PT, DPT
• Maryfrances Ryan
• Saba Medical Care PC
• Jessica Sabbah-Dery, MS, RD, CDN
• Judith Sabzevari, R.D. C.D.N
• Maya Sachar
• Mala Sachdeva, M.D.

• Endodontics in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.