Edward J Prus, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

029826 Issued in NY

Practice address

2529 Route 52
Suite 1
Hopewell Junction, NY 12533-3227

Phone

(845) 227-7787

Fax

(845) 227-7710

NPI assigned

Aug 13, 2008

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Edward J. Prus, DDS, PC

  • General Practice Dentistry
  • Hopewell Junction, NY
  • NPI 1760505754
  NPD (past) Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1639325418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 ROUTE 52",
            "address_2": "SUITE 1",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333227",
            "telephone_number": "845-227-7787",
            "fax_number": "845-227-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 ROUTE 52",
            "address_2": "SUITE 1",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333227",
            "telephone_number": "845-227-7787",
            "fax_number": "845-227-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUS",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "029826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Katherine Platt
• Karen K Pogge, M.D.
• Jennifer Lynn Post, LPN
• Kristen L Prince, FNP
• Maria Provenzano, MS ED
• Michelle Elizabeth Quattrone
• Annabelle Quimby
• Rabi R Sinha Physician P.C.
• Nicole Ramirez
• Tracey Randall, AU.D.,F.A.A.A

• Dentist in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.