Active NPI
Oleg Drut, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
National Provider Identifier
1619987757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 047218-1
- Practice address
- 79 Avenue U
Brooklyn, NY 11223-3554 - Phone
- (718) 373-6707
- Fax
- (718) 373-6799
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 047218-1 | NY | Primary |
Addresses
Primary practice location
79 Avenue U
Brooklyn, NY 11223-3554
Mailing address
800 Palisade Ave Apt 22E
Fort Lee, NJ 07024-4111
Phone (201) 969-2960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047218-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Orthodontics, Ppllc | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Avenue U Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Bushwick Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dresher, PA
- NPI 1558084129
Orthodontics and Dentofacial Orthopedics
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
- NPI 1164575478
Orthodontics and Dentofacial Orthopedics
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brooklyn, NY
- NPI 1447671128
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619987757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PALISADE AVE APT 22E",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244111",
"telephone_number": "201-969-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233554",
"telephone_number": "718-373-6707",
"fax_number": "718-373-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUT",
"first_name": "OLEG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "047218-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- 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.