Active NPI
Oleg Zusin, D.D.S.
- Periodontics
- Pelham, NY
National Provider Identifier
1467513200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 047194
- Practice address
- 1140 Grant Ave
Pelham, NY 10803-3440 - Phone
- (917) 968-5238
- Fax
- (914) 533-3443
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 047194 | NY | Primary |
Addresses
Primary practice location
1140 Grant Ave
Pelham, NY 10803-3440
Mailing address
1140 Grant Ave
Pelham, NY 10803-3440
Phone (917) 968-5238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047194 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zusin DDS PC | Periodontics | Past | Accepting new patients |
| Nymhc FPP Nephrology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Periodontics
- Pelham, NY
- NPI 1124156385
-
- Nephrology Physician
- New York, NY
- NPI 1306878657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1467513200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 GRANT AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033440",
"telephone_number": "917-968-5238",
"fax_number": "914-533-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 GRANT AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033440",
"telephone_number": "917-968-5238",
"fax_number": "914-533-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUSIN",
"first_name": "OLEG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "047194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.