Individual provider Active NPI

Marsha E Rubin, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1700963535
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042349 Issued in NY
Practice address
525 E 68TH St
Suite 2132, Mailbox 275
New York, NY 10021-4870
Phone
(212) 746-5115
Fax
(212) 746-8400
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine Dentistry 125Q00000X 042349 NY
Dentist 122300000X 042349 NY Primary

Addresses

Primary practice location

525 E 68TH St
Suite 2132, Mailbox 275
New York, NY 10021-4870

Mailing address

525 E 68TH St
Suite 2132, Mailbox 275
New York, NY 10021-4870
Phone (212) 746-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000323 NY Practitioner - Oral SurgeryPractitioner - Dentist 4981685765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
New York University College of Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Queens Medicine and Surgery, P.C.Group PAC ID 4082883673, 401 clinicians

Practice addresses (Care Compare)

17403 Horace Harding Expy
Flushing, NY 11365-1527
Phone (718) 670-1695

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 1, 2010 Accepting new patients
Newyork-Presbyterian/Queens CurrentSince Dec 8, 2015 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 20, 2025 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Dec 8, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2010 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 20, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

17411 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1060

17403 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1365

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

525 E 68th St
Rm F2100
New York, NY 10065

525 E 68th St
Ste 2132
New York, NY 10065
Phone (212) 746-5115

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: mer2009@direct.nyp.org

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1700963535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "SUITE 2132, MAILBOX 275",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-5115",
            "fax_number": "212-746-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "SUITE 2132, MAILBOX 275",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-5115",
            "fax_number": "212-746-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARSHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "NY",
            "license": "042349",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.