Individual provider Active NPI

Brett Gideon Druger, DMD

  • General Practice Dentistry
  • Northfield, NJ
National Provider Identifier
1649401233
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02415300 Issued in NJ
Practice address
235 Dolphin Ave
Northfield, NJ 08225-2015
Phone
(609) 351-6646
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02415300 NJ Primary

Addresses

Primary practice location

235 Dolphin Ave
Northfield, NJ 08225-2015

Mailing address

531 E Broad St
Westfield, NJ 07090-2107
Phone (908) 232-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 7, 2022 through Apr 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02415300NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Family Junior PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1649401233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-232-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DOLPHIN AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252015",
            "telephone_number": "609-351-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUGER",
        "first_name": "BRETT",
        "middle_name": "GIDEON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02415300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.