Individual provider Active NPI

Alla Zusin

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1124339163
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39108-1 Issued in NY
Practice address
3130 Brighton 6TH St Ste 1G
Brooklyn, NY 11235-6970
Phone
(718) 743-2501
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39108-1 NY Primary

Addresses

Primary practice location

3130 Brighton 6TH St Ste 1G
Brooklyn, NY 11235-6970

Mailing address

3130 Brighton 6TH St Ste 1G
Brooklyn, NY 11235-6970
Phone (718) 743-2501

Other identifiers 1

IdentifierTypeStateIssuer
1750412698MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39108-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Zusin Dentistry, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1124339163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 BRIGHTON 6TH ST STE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356970",
            "telephone_number": "718-743-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 BRIGHTON 6TH ST STE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356970",
            "telephone_number": "718-743-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUSIN",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "39108-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750412698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.