Lyubov Mashkabova, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

0497001 Issued in NY

Practice address

6200 Beach Channel Dr
Arverne, NY 11692-1409

Phone

(718) 945-7150

Fax

(718) 945-2596

NPI assigned

Jul 14, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1528066339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 81ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321203",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKABOVA",
        "first_name": "LYUBOV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NY",
            "license": "0497001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pretina Maddox
• Lora Victoria Maldonado, LPN
• Kathleen Frances Maloney, LMSW
• Ahuva Manheimer
• Laura Ximena Martinez, INTERN STUDENT
• Asha N McKenzie
• Sophia Elaine McKenzie, LPMHC
• Amy McMillon
• Thomas J Meyers, LMSW
• Michael Tenenbaum

• Public Health Dentistry in Arverne, NY
• Providers in Arverne, NY by specialty
• Public Health Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.