Individual provider Active NPI

Ari Dubov, D.D.S.

  • Dentist
  • Paramus, NJ
National Provider Identifier
1609848548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02203700 Issued in NJ
Practice address
27 Madison Ave
Suite 110
Paramus, NJ 07652-2722
Phone
(201) 845-5533
NPI assigned
Feb 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02203700 NJ Primary

Addresses

Primary practice location

27 Madison Ave
Suite 110
Paramus, NJ 07652-2722

Mailing address

183 Vassar St
Staten Island, NY 10314-6034
Phone (917) 951-0202

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
22DI02203700NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Om Dental Art, PC Dentist PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609848548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 VASSAR ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146034",
            "telephone_number": "917-951-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MADISON AVE",
            "address_2": "SUITE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522722",
            "telephone_number": "201-845-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOV",
        "first_name": "ARI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02203700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.