Lyubov Krut, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050662 Issued in NY

Practice address

128 Sand LN
Staten Island, NY 10305-4543

Phone

(718) 273-5006

Fax

(718) 273-2778

NPI assigned

Oct 25, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sand Lane Dental PC

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1649318601
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356331029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054543",
            "telephone_number": "718-273-5006",
            "fax_number": "718-273-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054543",
            "telephone_number": "718-273-5006",
            "fax_number": "718-273-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUT",
        "first_name": "LYUBOV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Krol
• Jaclyn Michelle Kronfeld
• Matthew Kroon
• Albina Kroytor, P.A.
• Chloe Krulfeifer
• Liliya Krymskaya
• Stephen Krysztoforski, LCSW
• Anna Kryuchkova, MD
• Michael Krzyzak, M.D.
• Arkadiusz Krzyzanowski

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jul 8, 2007; 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.