Active NPI
Mordehay Rubinchik, DDS
- General Practice Dentistry
- Fair Lawn, NJ
National Provider Identifier
1508088899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21047
- Practice address
- 13-19A River Rd
Fair Lawn, NJ 07410-1860 - Phone
- (551) 224-8080
- Fax
- (551) 224-8100
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21047 | NJ | Primary |
Addresses
Primary practice location
13-19A River Rd
Fair Lawn, NJ 07410-1860
Mailing address
13-19A River Rd
Fair Lawn, NJ 07410-1860
Phone (551) 224-8080
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21047 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1508088899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13-19A RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101860",
"telephone_number": "551-224-8080",
"fax_number": "551-224-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13-19A RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101860",
"telephone_number": "551-224-8080",
"fax_number": "551-224-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINCHIK",
"first_name": "MORDEHAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "21047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.