Individual provider Active NPI

Mariyanka Georgieva Milusheva, RDH

  • Dental Hygienist
  • Maybrook, NY
National Provider Identifier
1356048235
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
028562-01 Issued in NY
Practice address
303 Rakov Rd
Maybrook, NY 12543-1145
Phone
(845) 427-2338
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 028562-01 NY Primary

Addresses

Primary practice location

303 Rakov Rd
Maybrook, NY 12543-1145

Mailing address

303 Rakov Rd
Maybrook, NY 12543-1145
Phone (845) 427-2338

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

LicenseStateTypeSpecialty
028562-01NYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1356048235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 RAKOV RD",
            "city": "MAYBROOK",
            "state": "NY",
            "postal_code": "125431145",
            "telephone_number": "845-427-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RAKOV RD",
            "city": "MAYBROOK",
            "state": "NY",
            "postal_code": "125431145",
            "telephone_number": "845-427-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILUSHEVA",
        "first_name": "MARIYANKA",
        "middle_name": "GEORGIEVA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "028562-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maybrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.