QUEENS ORTHODONTICS (NPI# 1043565575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043565575 |
| Entity Type | Organization |
| Organization Name | QUEENS ORTHODONTICS |
| Practice Address |
3097 Steinway St 2nd Floor Astoria NY 11103-3440 |
| Practice Telephone | 7185455100 |
| Mailing Telephone | 7185455100 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | DR. OLEG DRUT (OWNER/ORTHODONTIST) |
| Authorized Official Telephone | 2014003822 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
047218-1 | Dental Providers |
| Street Address |
3097 STEINWAY ST 2ND FLOOR |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
| 1093226979 | Jamie Huang | Pharmacist | 3097 Steinway St, Astoria, NY 11103-3440 | 2017-10-18 |
| 1841676855 | Sara Sullivan | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2015-08-03 |
| 1396091781 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3097 Steinway St, Astoria, NY 11103-3440 | 2012-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356621 | Patricia Ortiz Diaz | Dentist | 3119 Newtown Ave Ste 200, Astoria, NY 11102-1392 | 2014-04-14 |
| 1891099081 | Robert J. Lopatkin Dds PC | Dentist | 2312 31st St, Astoria, NY 11105-2842 | 2011-01-02 |
| 1962678763 | Trevor Robert Gottfried | Dentist | 2615 23rd Ave, Astoria, NY 11105-3124 | 2008-05-01 |
| 1790970374 | Efstathios Giannoutsos | Dentist | 2161 46th St, Astoria, NY 11105-1333 | 2007-09-07 |
| 1093905788 | Patrick Ray Harrison | Dentist | 762 Niagara Ave, Astoria, OR 97103-5119 | 2007-07-28 |
| 1740336775 | Joseph Anthony Salierno | Dentist | 3045 35th St, Astoria, NY 11103-4701 | 2007-01-25 |
| 1225124282 | Tamar Bryk | Dentist | 3122 Steinway St, Astoria, NY 11103-3909 | 2006-10-05 |
| 1316544943 | All Smiles Orthodontics, Pllc | Dentist | 2312 31st St, Astoria, NY 11105-2768 | 2020-10-06 |
| 1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
| 1841676855 | Sara Sullivan | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2015-08-03 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.