Active NPI
Ruben D Cueto, DDS
- Dentist
- New York, NY
National Provider Identifier
1710964986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049728
- Practice address
- 713 St Nicholas Ave
New York, NY 10031 - Phone
- (212) 234-6960
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 049728 | NY | Primary |
Addresses
Primary practice location
713 St Nicholas Ave
New York, NY 10031
Mailing address
713 St Nicholas Ave
New York, NY 10031
Phone (212) 234-6960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9177755 | Other | NY | DORAL |
| 02224037 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049728 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710964986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 ST NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "212-234-6960",
"fax_number": "212-234-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 ST NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "212-234-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUETO",
"first_name": "RUBEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9177755",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02224037",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.