J.M. Rashbaum D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J.M. RASHBAUM D.M.D., P.C.

Practice address

1410 Broadway RM 3004
New York, NY 10018-5030

Phone

(212) 391-1385

Fax

(212) 391-8540

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Justin Todd Rashbaum, DMDNPI 1841435336

Title

Owner

Phone

(212) 391-1385

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Todd Rashbaum, D.M.D.

  • Dentist
  • New York, NY
  • NPI 1841435336
  NPD Authorized official
• Jay M Rashbaum, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1003943275
  NPD (past)
• Shrey Shah, DDS

  • Dentist
  • Union City, NJ
  • NPI 1992452288
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1558090555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY RM 3004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185030",
            "telephone_number": "212-391-1385",
            "fax_number": "212-391-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BROADWAY RM 3004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185030",
            "telephone_number": "212-391-1385",
            "fax_number": "212-391-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M. RASHBAUM D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "RASHBAUM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-391-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.