NPIMap

Organization Active NPI

Zusin DDS PC

  • Periodontics
  • Pelham, NY
National Provider Identifier
1124156385
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
54364 Issued in CA
Legal business name
ZUSIN DDS PC
Practice address
1140 Grant Ave
Pelham, NY 10803-3440
Phone
(917) 968-5238
Fax
(914) 533-3443
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Oleg Zusin, D.D.S.NPI 1467513200
Title
Owner
Phone
(917) 968-5238

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 54364 CA Primary

Addresses

Primary practice location

1140 Grant Ave
Pelham, NY 10803-3440

Mailing address

1140 Grant Ave
Pelham, NY 10803-3440
Phone (917) 968-5238

National Provider Directory

National Provider Directory

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1124156385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 GRANT AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033440",
            "telephone_number": "917-968-5238",
            "fax_number": "914-533-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 GRANT AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033440",
            "telephone_number": "917-968-5238",
            "fax_number": "914-533-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUSIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "ZUSIN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-968-5238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "54364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.