Marina Rybak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030223L Issued in PA

Practice address

539 Street Rd
Southampton, PA 18966-3786

Phone

(215) 355-7790

Fax

(215) 355-6637

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1659360725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663786",
            "telephone_number": "215-355-7790",
            "fax_number": "215-355-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663786",
            "telephone_number": "215-355-7790",
            "fax_number": "215-355-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030223L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "0014404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0018668890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rossi
• Jerry M Roth, MD
• Nancy Rubin, MA CCC-SLP
• Sylvia Rudnicki
• Bernice Martha Ryan, M. A. CCC-SLP
• Keith Sadel, MD
• Sreethy Saraswathy, M.D.
• Divya Sareen, M.D.
• Robert Sattler, DMD
• James Saur

• General Practice Dentistry in Southampton, PA
• Providers in Southampton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.