Martin Henry Rabinovich, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI02701600 Issued in NJ

Practice address

28 Union Ave
Manasquan, NJ 08736-3647

Phone

(732) 775-1492

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refined Dental PC

  dba Shore Dental

  • Pediatric Dentistry
  • Avon by the Sea, NJ
  • NPI 1548930035
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1255839056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ASHFORD CT",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077623108",
            "telephone_number": "732-824-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 UNION AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363647",
            "telephone_number": "732-775-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOVICH",
        "first_name": "MARTIN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI02701600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne McCulloch Pringle
• Diane Propert, LPC
• Robert J Puglia, PH.D.
• Justyna Karolina Pupek
• Peter Andrew Quinn, DPT
• Rachael Shuster, MSW, LCSW LLC
• Paul Thomas Rayward, DPM
• Kelsey Reardon, OTR/L
• Dolores Ann Reilly, PSY.D.
• Nicholas Reilly, MS, LAC, NCC

• Orthodontics and Dentofacial Orthopedics Dentistry in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.