DR. RAFAEL BORUCHOV DDS
NPI 1295169472
Dentist in Forest Hills, NY

Active since August 24, 2013
11620 QUEENS BLVD, FOREST HILLS, NY 11375(718) 507-7781(347) 652-1760 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Jul 21, 2022, Jun 8, 2017 (3 updates tracked since 2017).

About Dr. Rafael Boruchov Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFAEL BORUCHOV DDS (NPI 1295169472) is an individual dentist in Forest Hills, New York, licensed in New York (50056907) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1295169472
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RAFAEL BORUCHOVCredential: DDS
Location Address11620 QUEENS BLVDForest Hills, NY 11375-7055
Mailing Address11620 Queens BlvdForest Hills, NY 11375-7055 · (718) 507-7781
Fax(347) 652-1760
Sole ProprietorYes
Enumeration DateAugust 24, 2013
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1295169472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 50056907
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11620 QUEENS BLVD, Forest Hills, NY 11375

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Non-Pharmacy Dispensing Site
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Family Medicine
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center (Urgent Care)
11620 QUEENS BLVD, STE. B
FOREST HILLS, NY 11375
Nurse Practitioner (Family)
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Nurse Practitioner (Adult Health)
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Dentist
11620 QUEENS BLVD
FOREST HILLS, NY 11375
Dentist (General Practice)
11620 QUEENS BLVD
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Boruchov's NPI number?

The NPI number for Rafael Boruchov is 1295169472. It was assigned to this individual provider in the NPPES registry on August 24, 2013.

Where is Rafael Boruchov located?

Rafael Boruchov practices at 11620 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 507-7781.

What is Rafael Boruchov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Rafael Boruchov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Rafael Boruchov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafael Boruchov was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.