Eric Kusseluk, M.D., LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

239183 Issued in NY

Legal business name

ERIC KUSSELUK, M.D., LLC

Practice address

635 Madison Ave FL 3
New York, NY 10022-1009

Phone

(212) 753-6048

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By 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

Dr. Bruce A Deitchman, M.D.

Title

Owner

Phone

(212) 753-6048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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.

• Eric Kusseluk, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1235283367
  Medicare reassignment NPD
• Vicki J Levine, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932198983
  NPD (past)
• Mark Scott Lipton, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1487723375
  NPD (past)
• Serena A. Mulhern, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1962592618
  NPD (past)
• Stanley Selim Schrem, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1376612242
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1326354036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-753-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-753-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC KUSSELUK, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "DEITCHMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-753-6048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "239183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric E Arnold Mental Health Counseling Private Practice (Mntl Health)
• Eric Huang M.D., P.C.
• Eric I Degis, DC, PC
• Eric I. Choe, MD Facs
• Eric in Choe, M.D., PLLC
• Eric M Hovis Mental Health Counseling PLLC
• Eric Morgenstern, MD PLLC
• Eric R. Mandel M.D P.C. (mandelvision)
• Eric Rottenberg Urology PC
• Eric S. Goldstein, M.D., P.L.L.C. (East River Gastroenterology and Nutrition)

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.