DR. SUSAN ROUBICEK (NPI# 1568540540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568540540 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ROUBICEK |
| Credential | DMD |
| Practice Address |
739 Woodrow Rd Staten Island NY 10312 |
| Mailing Address |
21 Indian Lake Drive Little Ferry NJ 07643 |
| Practice Telephone | 7183178524 |
| Mailing Telephone | 2017944789 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
18098 | MA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DI17158 | NJ | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
044226 | NY | Dental Providers |
| Street Address |
739 WOODROW RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439252 | Woodrow Family Dentistry PC | Dentist | 739 Woodrow Rd, Staten Island, NY 10312-2221 | 2019-10-17 |
| 1760609275 | Glenn J. Marie, Dds, PC | Dentist | 739 Woodrow Rd, Staten Island, NY 10312-2221 | 2007-04-19 |
| 1588706758 | Glenn J Marie | Dentist | 739 Woodrow Rd, Staten Island, NY 10312-2221 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265913693 | Ortho Smiles of Staten Island PC | Dentist | 2791 Richmond Ave Ste 202, Staten Island, NY 10314-5859 | 2018-08-23 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| 1518231588 | Dr. John Graziano Dds. | Dentist | 60 Cromwell Ave, Staten Island, NY 10304 | 2012-03-08 |
| 1871791616 | Eugene Stanley Mosiello | Dentist | 3102 Hylan Blvd, Staten Island, NY 10306 | 2007-07-03 |
| 1225245145 | East Rutherford Orthodontics | Dentist | 7521 Amboy Rd, Staten Island, NY 10307-1429 | 2007-05-17 |
| 1326253386 | Salvatore Rosario Indelicato | Dentist | 932 Woodrow Rd, Staten Island, NY 10312-2224 | 2007-05-13 |
| 1104046069 | Joseph Thomas Lamendella | Dentist | 1235 Richmond Ave, Staten Island, NY 10314-7433 | 2007-04-25 |
| 1871710582 | Ralph Gregory Attanasi | Dentist | 821 Clove Rd, Staten Island, NY 10310-2741 | 2007-04-20 |
| 1184712853 | Sara Jane Skurnick | Dentist | 195 Bridgetown Street, Staten Island Pediatric Dental, Staten Island, NY 10314-6006 | 2006-10-10 |
| 1447261508 | Saccaro - Saccaro | Dentist | 81 Wyona Ave, Staten Island, NY 10314-1847 | 2006-08-11 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.