Organization Active NPI

Edward J. Prus, DDS, PC

  • General Practice Dentistry
  • Hopewell Junction, NY
National Provider Identifier
1760505754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029826 Issued in NY
Legal business name
EDWARD J. PRUS, DDS, PC
Practice address
2529 RT 52
Suite 1
Hopewell Junction, NY 12533
Phone
(845) 227-7787
Fax
(845) 227-7710
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward J Prus, DDSNPI 1639325418
Title
President
Phone
(845) 227-7787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 029826 NY Primary

Addresses

Primary practice location

2529 RT 52
Suite 1
Hopewell Junction, NY 12533

Mailing address

2529 Route 52
Suite 1
Hopewell Junction, NY 12533
Phone (845) 227-7787

Other names 1

  • Center for Dental Excellence Other name

National Provider Directory

National Provider Directory

Locations

2529 Route 52
Ste 1
Hopewell Junction, NY 12533
Phone (845) 227-7787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760505754",
    "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": "12533",
            "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 RT 52",
            "address_2": "SUITE 1",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-227-7787",
            "fax_number": "845-227-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. PRUS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-227-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dental Excellence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.