Modern Dental Smile PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MODERN DENTAL SMILE PC

Practice address

235 Sunrise Hwy
Merrick, NY 11566-3745

Phone

(516) 855-0070

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Isaak Rubinov, DDSNPI 1013536846

Title

Co-Owner

Phone

(347) 288-8729

Specialties & licenses 1

Addresses

Other names 1

• Modern Dental Hub Doing business as

Locations

Practitioners 1

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

• Isaak Rubinov, DDS

  • General Practice Dentistry
  • East Rockaway, NY
  • NPI 1013536846
  NPD (past) Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1669266458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-855-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL SMILE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RUBINOV",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "347-288-8729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dental Hub",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa L Minkoff, CPHT
• Barno Mirdjalilova, RN
• Amanda Mirsky, PA
• Bertram Maurice Mitchel, O.D.
• Nusrat Mitu, FNP
• Robert F. Mogollon Sr., LCSW
• Teresa Montano Sucher, LCSW
• Montefiore Medical Center
• Cristina Morales-Vega, CD(DONA)
• Michele Morelli, MHC-LP, CRC

• Dental Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.