Vitaly Terushkin MD PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

VITALY TERUSHKIN MD PLLC

Practice address

205 E 69TH St Apt 1C
New York, NY 10021-5437

Phone

(212) 249-2552

Fax

(212) 772-7370

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanmarie Foreman

Title

Manager

Phone

(212) 249-2552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vitaly Terushkin

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1699099671
  Medicare reassignment NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1083397731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 69TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215437",
            "telephone_number": "212-249-2552",
            "fax_number": "212-772-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 69TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215437",
            "telephone_number": "212-249-2552",
            "fax_number": "212-772-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALY TERUSHKIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "JEANMARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-249-2552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Health Medical, P.C
• Vitality Health Medical, P.C
• Vitality Wellness Physical Therapy PLLC
• Danielle Catherine Vitalo, PA-C
• Vitaly Physical Therapy PC (reVitalyze Physiotherapy)
• Nicholas Vitaro
• Yaffa Malka Vitberg, M.D.
• Stephanie Jennifer Vitellaro, PA-C
• Sarah Anne Vitello, LCSW
• Monica Vitenson, MSPT

• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.