Alla Shustarovich MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203553 Issued in NY

Legal business name

ALLA SHUSTAROVICH MD PC

Practice address

99 Brighton 11 Street
Brooklyn, NY 11235

Phone

(718) 332-7411

Fax

(718) 332-7412

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By 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

Alla ShustarovichNPI 1356315527

Title

MD

Phone

(718) 332-7411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Alla Shustarovich, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1356315527
  Medicare reassignment NPD Authorized official
• Inna Blakeman, DPM

  • Podiatrist
  • New York, NY
  • NPI 1275550246
  NPD (past)
• Anna A Kharitonova, DO

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1619032539
  NPD (past)

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1245509454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BRIGHTON 11 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-7411",
            "fax_number": "718-332-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRIGHTON 11 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-332-7411",
            "fax_number": "718-332-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA SHUSTAROVICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "SHUSTAROVICH",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-332-7411"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All RX Pharmacy II Inc
• All Time Care Medical PLLC
• All Together Education, LLC
• All Well Pharmacy Inc
• All Well Pharmacy Inc
• Alla Zusin Dentistry, PC
• Orli Allahab
• Ahmed Mohamed Allam
• Heba Allam, MD
• Salsabeel Allan, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.