Organization Active NPI

Mark M Rubin DMD PA

  • General Practice Dentistry
  • Rutherford, NJ
National Provider Identifier
1699987107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8687 Issued in NJ
Legal business name
MARK M RUBIN DMD PA
Practice address
221 Park Ave
Rutherford, NJ 07070
Phone
(201) 939-0225
Fax
(201) 939-0225
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Mark Rubin, DMD
Title
Dentist
Phone
(201) 939-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8687 NJ Primary

Addresses

Primary practice location

221 Park Ave
Rutherford, NJ 07070

Mailing address

221 Park Ave
Rutherford, NJ 07070
Phone (201) 939-0225

National Provider Directory

National Provider Directory
Tax ID family
Mark M Rubin DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699987107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-939-0225",
            "fax_number": "201-939-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PARK AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-939-0225",
            "fax_number": "201-939-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M RUBIN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-939-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.