M M Abdur Rob, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046039 Issued in NY

Practice address

780 E Tremont Ave
Bronx, NY 10460-4101

Phone

(718) 731-6176

Fax

(718) 583-3506

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1972760296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604101",
            "telephone_number": "718-731-6176",
            "fax_number": "718-583-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604101",
            "telephone_number": "718-731-6176",
            "fax_number": "718-583-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROB",
        "first_name": "M M",
        "middle_name": "ABDUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Roa Rodriguez, LMSW
• Luis C Roa, FNP
• Yovanna A Roa
• Neshea Roach
• Diana Roata, NP
• Aileen Robb
• Kristin Frances Robb, RD
• Carlene Robbins
• Noah Robbins, MD
• Eyal Kopel Robenshtok, M.D.

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Jun 25, 2014; 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.