Caroline Rubino, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

057932 Issued in NY

Practice address

4760 Sunrise Hwy
Massapequa Park, NY 11762-2932

Phone

(516) 541-2280

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439596800000",
    "number": "1982089454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JAYSON AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214240",
            "telephone_number": "516-355-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SUNRISE HWY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622932",
            "telephone_number": "516-541-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "CAROLINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "057932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Weiss Rose, PH.D.
• Jordan Rose
• Nicole M Rosen, M.A., SLP
• Nicholas James Roth, PA-C
• Michael Rothstein, R.PH.
• Lynn M. Rudin, M.A.
• Joseph Louis Russo, CHIROPRACTOR
• Karen L Russo, M.A.P.T.
• Eleanor Jeannette Ryan, OTR/L
• Mary Ellen Ryan, MS ED, CCC-SLP

• Periodontics in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.