NPIMap

Individual provider Active NPI

Arkadiy Shusterman, DO

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1316992928
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217079 Issued in NY
Practice address
280 Quentin Rd
Brooklyn, NY 11223-1628
Phone
(718) 336-4499
Fax
(718) 336-2013
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217079 NY Primary

Addresses

Primary practice location

280 Quentin Rd
Brooklyn, NY 11223-1628

Mailing address

280 Quentin Road
Brooklyn, NY 11223-1628
Phone (718) 336-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000326 NY Practitioner - Internal Medicine 0840283156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quentin Medical PCGroup PAC ID 2062302649, 5 clinicians
Englinton Medical PCGroup PAC ID 9234103870, 2 clinicians

Practice addresses (Care Compare)

280 Quentin Rd
Brooklyn, NY 11223-1628
Phone (718) 336-4499

95 25 Jamaica Ave
Woodhaven, NY 11421-2224
Phone (718) 441-4070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Comprehensive Care Center Inc. Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Englinton Medical PC CurrentSince Dec 31, 2001 Accepting new patients
Quentin Medical PC Internal Medicine CurrentSince Oct 1, 1984 Accepting new patients
Quentin Medical, P.C CurrentSince Oct 1, 1984 Accepting new patients
Brooklyn Medical Associate, LFPC Internal Medicine Past Accepting new patients
Dynamic Medical Care PC Internal Medicine PastSince Nov 24, 2011 Accepting new patients

Locations

280 Quentin Rd
Brooklyn, NY 11223
Phone (718) 336-4499

2501 86th St
Brooklyn, NY 11214
Phone (718) 333-2500

15611 Aguilar Ave
Ste P3
Flushing, NY 11367
Phone (718) 380-4745

9525 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 441-4070

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIIABA/Endpoint/AIIABA

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1316992928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 QUENTIN ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231628",
            "telephone_number": "718-336-4499",
            "fax_number": "718-336-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231628",
            "telephone_number": "718-336-4499",
            "fax_number": "718-336-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTERMAN",
        "first_name": "ARKADIY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.