Dental Made Easy P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL MADE EASY P.C.

Practice address

11620 Queens Blvd
Forest Hills, NY 11375-7055

Phone

(718) 401-1510

Fax

(718) 401-1602

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Boruchov, DDS

Title

Owner

Phone

(347) 283-2396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1871047886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757055",
            "telephone_number": "718-401-1510",
            "fax_number": "718-401-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757055",
            "telephone_number": "718-401-1510",
            "fax_number": "718-401-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MADE EASY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "BORUCHOV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-283-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Demauro, LCSW
• Pierina Lorelei Demorizi, MSW
• Jorgins Faith Mamugay Denaque
• Emmanuella Denis
• Dawn Denny, LMSW
• Olena Denysova, FNP
• Angelina Anuradha Deonarine
• John Depetrillo Jr., M.D.
• Jessica Khloe Cabilao Dequito, PT
• Almira Dervisevic, PHARMD

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.