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DYLAN RUST
NPI 1407503626
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 08, 2022PECOS Enrolled
104 HAVEN AVE, NEW YORK, NY 10032(307) 871-7631 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Rust NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN RUST (NPI 1407503626) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407503626
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN RUST
Location Address104 HAVEN AVENew York, NY 10032-2654
Mailing Address611 W 148th St Apt 59New York, NY 10031-3112 · (307) 871-7631
Phone(307) 871-7631
Sole ProprietorYes
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1407503626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
104 HAVEN AVE, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Rust is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE CHEN
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-3595
CELIA CACHO
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-2862
PUSHKAR SHINDE
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-3595
RENEE JESSICA TUNG
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-2862
SHAILEN SAMPATH
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (212) 305-2862
SAUNDRA ALBERS
Student in an Organized Health Care Education/Training Program
104 HAVEN AVE
NEW YORK, NY 10032
New York County (707) 328-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Rust's NPI number?

The NPI number for Dylan Rust is 1407503626. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Dylan Rust located?

Dylan Rust practices at 104 Haven Ave, New York, NY 10032. The listed phone number is (307) 871-7631.

What is Dylan Rust's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Rust enrolled in Medicare?

Yes. Dylan Rust is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Rust was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.