Individual provider Active NPI

Joshua Marc Rub

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1265185334
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063150 Issued in NY
Practice address
666 W End Ave Apt 23MN
New York, NY 10025-7461
Phone
(310) 279-0575
NPI assigned
Jan 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 063150 NY Primary

Addresses

Primary practice location

666 W End Ave Apt 23MN
New York, NY 10025-7461

Mailing address

16 Fawn Dr
Livingston, NJ 07039-1916

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
063150NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1265185334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAWN DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 W END AVE APT 23MN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257461",
            "telephone_number": "310-279-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUB",
        "first_name": "JOSHUA",
        "middle_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-30",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.