Rubaba M Khan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22D102341100 Issued in NJ

Practice address

2 Washington Ave
Irvington, NJ 07111-3550

Phone

(973) 399-5000

Fax

(973) 399-5000

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Health Associates PA

  • General Practice Dentistry
  • Irvington, NJ
  • NPI 1245302942
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1174739775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RIVER CT",
            "address_2": "APT 1214",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102101",
            "telephone_number": "917-626-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113550",
            "telephone_number": "973-399-5000",
            "fax_number": "973-399-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RUBABA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102341100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayswinder Kaur, OD
• Staci Kee, CPRS
• Keishma LLC
• Sia Kendema
• Kenneth Treadwell Jr. MD PC
• Moloud A Khanmohamadi, MD
• Aaron Taehyun Kim, DDS
• Eunmi Kim
• Adara S. Kimbrough, MSW
• Kindvine Care and Support Services LLC

• Dentist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.