Active NPI
Alex Zusin, DMD
- Periodontics
- Brooklyn, NY
National Provider Identifier
1215416805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 23055
- Practice address
- 2540 Batchelder St Apt 5O
Brooklyn, NY 11235-1530 - Phone
- (718) 419-1435
- NPI assigned
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 23055 | FL | Primary |
Addresses
Primary practice location
2540 Batchelder St Apt 5O
Brooklyn, NY 11235-1530
Mailing address
2540 Batchelder St Apt 5O
Brooklyn, NY 11235-1530
Phone (718) 419-1435
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23055 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1215416805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 BATCHELDER ST APT 5O",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351530",
"telephone_number": "718-419-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 BATCHELDER ST APT 5O",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351530",
"telephone_number": "718-419-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUSIN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "23055",
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.