Diamond Braces Wayne

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI2070700 Issued in NJ

Legal business name

DIAMOND BRACES WAYNE

Practice address

401 Hamburg Tpke
Suite 210
Wayne, NJ 07470-2154

Phone

(973) 200-8380

Fax

(973) 200-8385

NPI assigned

May 12, 2014

Last updated

May 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Drut

Title

Doctor

Phone

(973) 200-8380

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1174934251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "address_2": "SUITE #303",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "201-308-8181",
            "fax_number": "718-373-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 210",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-200-8380",
            "fax_number": "973-200-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BRACES WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "DRUT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-200-8380",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI2070700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8072701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aynur A. Devli, MD
• Gregory Devries, D.M.D.
• Rohit Dhar
• Geraldine J Di Tosto, PHD
• Diabeticwatchers USA LLC
• Diamond Diagnostic
• Diamond Imaging
• Diana S. Leu, MD, LLC
• Diana Zabarko OD LLC
• Allison Nicole Diangelo

• Orthodontics and Dentofacial Orthopedics Dentistry in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.