Individual provider Active NPI

Jennifer Rubin, D.D.S.

  • General Practice Dentistry
  • Plainview, NY
National Provider Identifier
1164641346
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046987 Issued in NY
Practice address
1097 Old Country Road
205
Plainview, NY 11803
Phone
(516) 921-6444
NPI assigned
Apr 25, 2007
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 046987 NY Primary

Addresses

Primary practice location

1097 Old Country Road
205
Plainview, NY 11803

Mailing address

1995 New York Ave
Plainview, NY 11746-3236
Phone (631) 427-0844

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
046987NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Rubin Frisch DDS, PC CurrentSince Jul 31, 2023 Accepting new patients
Paul Bender DDS, PC PastSince Jun 11, 2023 Accepting new patients

Locations

1097 Old Country Rd
Ste 205
Plainview, NY 11803
Phone (516) 921-6444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1164641346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 NEW YORK AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "117463236",
            "telephone_number": "631-427-0844",
            "fax_number": "631-427-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY ROAD",
            "address_2": "205",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-921-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.