Yuliya Shustorovich, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

172528-1 Issued in NY

Practice address

2510 30TH Ave
Anesthesiology
Astoria, NY 11102-2448

Phone

(212) 427-2666

Fax

(212) 289-6929

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centurion Anesthesia - FL LLC

  • Anesthesiology Physician
  • Hollywood, FL
  • NPI 1700528346
  Medicare reassignment
• Icahn School of Medicine at Mount Sinai

  • Specialty Pharmacy
  • New York, NY
  • NPI 1629410816
  NPD (past)
• Mount Sinai School of Medicine

  • Anesthesiology Physician
  • Astoria, NY
  • NPI 1437172335
  NPD (past)
• Seaview Medical Group, PC

  • Specialist
  • Staten Island, NY
  • NPI 1144227695
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1174579478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12023",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071015023",
            "telephone_number": "212-427-2666",
            "fax_number": "212-289-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 30TH AVE",
            "address_2": "ANESTHESIOLOGY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022448",
            "telephone_number": "212-427-2666",
            "fax_number": "212-289-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTOROVICH",
        "first_name": "YULIYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "172528-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02310630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Shtompel, M.A.
• Alexandra Leigh Shulman, CCC-SLP
• Priscilla Shulman
• Elaine Shum, PHARMD
• Ramiz Shuminov, M.D.
• Nawal Siage, MD
• Rosalia Dutan Siavichay
• Connor Sick, LCSW
• Vassilia Sideras, PHARMD
• Zoe Sideras

• Anesthesiology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.