Diamond Braces Edison

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI2070700 Issued in NJ

Legal business name

DIAMOND BRACES EDISON

Practice address

34-36 Progress St
Suite A4
Edison, NJ 08820-1197

Phone

(908) 222-8228

Fax

(718) 373-6799

NPI assigned

May 13, 2014

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

(201) 420-7116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Schiels, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edison, NJ
  • NPI 1134854771
  NPD (past)
• Simona Lekht, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
  • NPI 1639530090
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1447661491",
    "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": "34-36 PROGRESS ST",
            "address_2": "SUITE A4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-222-8228",
            "fax_number": "718-373-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BRACES EDISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "DRUT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-420-7116",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

• Dhillon Spine Specialists, P.C.
• Harmandeep Singh Dhillon
• DHP of New Jersey PA
• Diagnostic Vascular Imaging
• Olga Diamantis, PSY.D.
• Daniel Diamond, OD
• Diane N Dias, PA
• Alice Antonetta Dibenedetto, M.D.
• McKenna Mary Dick, OTR/L
• Scott Dickerson

• Orthodontics and Dentofacial Orthopedics Dentistry in Edison, NJ
• Providers in Edison, 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 13, 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.