Jeffrey A. Babushkin, D.D.S., F.A.G.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7037 Issued in CT

Practice address

888 White Plains Rd
Suite 102
Trumbull, CT 06611-4552

Phone

(203) 268-5881

Fax

(203) 268-4054

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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.

• CP Dentistry LLC

  • Dental Clinic/Center
  • Trumbull, CT
  • NPI 1760189955
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285648931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LONGMEADOW RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068241763",
            "telephone_number": "203-259-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "address_2": "SUITE 102",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-5881",
            "fax_number": "203-268-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABUSHKIN",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7037",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthritis and Internal Medicine Associates, LLC
• Aspira Ivd, Inc
• Associates in Internal Medicine
• Robert Axelrod, D.D.S.
• John-Paul Ayala, M.D.
• Tara Jill Babushkin, DMD
• Zynab Umu Bah
• Baker Pediatrics, LLC
• Christina Elizabeth Baker, PSYD
• Kathryn A Baker, D.O.

• All providers in Trumbull, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.